Jaimie N Hollis, NP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" physician in Athens, Georgia. Her current practice location is
1199 Prince Ave, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 475-7000.
Jaimie N Hollis is licensed to practice in Georgia (license number RN283347) 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 1023724986.
Physician's Profile
| Full Name | Jaimie N Hollis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Critical Care Medicine |
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| Location | 1199 Prince Ave, Athens, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023724986
- Provider Enumeration Date: 01/24/2023
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840657433
- Enrollment ID: I20230613003113
Medical Identifiers
Medical identifiers for Jaimie N Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023724986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RP1001X | Internal Medicine - Pulmonary Disease | RN283347 (Georgia) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | RN283347 (Georgia) | Secondary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN283347 (Georgia) | 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. Jaimie N Hollis allows following entities to bill medicare on her behalf.
| Entity Name | Athens Pulmonary And Allergy, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649337510
PECOS PAC ID: 0547219958
Enrollment ID: O20050112000837 |
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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. Jaimie N Hollis 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 |
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Jaimie N Hollis, NP
1257 Four Lakes Dr,
Madison, GA 30650-4267
Ph: (478) 457-4211 | Jaimie N Hollis, NP
1199 Prince Ave,
Athens, GA 30606-2797
Ph: (706) 475-7000 |
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