Holly Kristen Sanders, PNP is a medicare enrolled "Pediatrics" physician in Homer, Louisiana. Her current practice location is
103 Dawson St, Homer, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 548-2659.
Holly Kristen Sanders is licensed to practice in Louisiana (license number 236839) 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 1033948534.
Physician's Profile
Full Name | Holly Kristen Sanders |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 103 Dawson St, Homer, Louisiana |
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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: 1033948534
- Provider Enumeration Date: 07/31/2024
- Last Update Date: 07/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335673524
- Enrollment ID: I20241111002353
Medical Identifiers
Medical identifiers for Holly Kristen Sanders such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033948534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 236839 (Louisiana) | 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. Holly Kristen Sanders allows following entities to bill medicare on her behalf.
Entity Name | David Raines Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215933254 PECOS PAC ID: 4688586118 Enrollment ID: O20041007000508 |
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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. Holly Kristen Sanders 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 Kristen Sanders, PNP 103 Dawson St, Homer, LA 71040-3124 Ph: () - | Holly Kristen Sanders, PNP 103 Dawson St, Homer, LA 71040-3124 Ph: (318) 548-2659 |
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