Miss Charnell Hollis, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Pasadena, Texas. Her current practice location is
4211 Fairmont Pkwy, Pasadena, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 456-8434.
Miss Charnell Hollis is licensed to practice in Texas (license number 1096464) 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 1922883883.
Physician's Profile
Full Name | Miss Charnell Hollis |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4211 Fairmont Pkwy, Pasadena, Texas |
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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: 1922883883
- Provider Enumeration Date: 08/29/2023
- Last Update Date: 01/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052763216
- Enrollment ID: I20240123004790
Medical Identifiers
Medical identifiers for Miss Charnell Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922883883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 1096464 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1096464 (Texas) | 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. Miss Charnell Hollis allows following entities to bill medicare on her behalf.
Entity Name | Texas Digestive Disease Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053397331 PECOS PAC ID: 3375531379 Enrollment ID: O20040505001844 |
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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. Miss Charnell 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 |
Miss Charnell Hollis, NP Po Box 35629, Dallas, TX 75235-0629 Ph: (214) 424-2200 | Miss Charnell Hollis, NP 4211 Fairmont Pkwy, Pasadena, TX 77504-3324 Ph: (832) 456-8434 |
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