Wendy E Holland, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Charlestown, Rhode Island. Her current practice location is
3769 Old Post Rd, Charlestown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 854-7955.
Wendy E Holland is licensed to practice in Rhode Island (license number APRN03068) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124451695.
Provider's Profile
Full Name | Wendy E Holland |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3769 Old Post Rd, Charlestown, Rhode Island |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124451695
- Provider Enumeration Date: 08/19/2013
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345466165
- Enrollment ID: I20220615001963
Medical Identifiers
Medical identifiers for Wendy E Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124451695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP60365470 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN03068 (Rhode Island) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Wendy E Holland allows following entities to bill medicare on her behalf.
Entity Name | Complete Health Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316516768 PECOS PAC ID: 6305248139 Enrollment ID: O20210715002177 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wendy E Holland is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wendy E Holland, ARNP 3769 Old Post Rd, Charlestown, RI 02813-2571 Ph: (401) 854-7955 | Wendy E Holland, ARNP 3769 Old Post Rd, Charlestown, RI 02813-2571 Ph: (401) 854-7955 |
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