Holly Hutchinson, PA-C, LD, RD is a medicare enrolled "Physician Assistant" provider in Meridian, Idaho. Her current practice location is
3525 E Louise Dr Ste 500, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 706-7050.
Holly Hutchinson is licensed to practice in Idaho (license number PA1649) 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 1922407774.
Healthcare Provider's Profile
Full Name | Holly Hutchinson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3525 E Louise Dr Ste 500, Meridian, Idaho |
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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: 1922407774
- Provider Enumeration Date: 08/18/2014
- Last Update Date: 05/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345589784
- Enrollment ID: I20190304000236
Medical Identifiers
Medical identifiers for Holly Hutchinson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922407774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | D-783 (Idaho) | Secondary |
363A00000X | Physician Assistant | PA1649 (Idaho) | Primary |
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. Holly Hutchinson 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 |
Holly Hutchinson, PA-C, LD, RD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-8752 | Holly Hutchinson, PA-C, LD, RD 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 Ph: (208) 706-7050 |
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