Mrs Marina Suzanne Holloway, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Columbia, Tennessee. Her current practice location is
230 E James M Campbell Blvd Ste 102, Columbia, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 840-9588.
Mrs Marina Suzanne Holloway is licensed to practice in Tennessee (license number APN0000015768) 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 1033408828.
Physician's Profile
| Full Name | Mrs Marina Suzanne Holloway |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 230 E James M Campbell Blvd Ste 102, Columbia, Tennessee |
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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: 1033408828
- Provider Enumeration Date: 04/01/2011
- Last Update Date: 07/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 0244401792
- Enrollment ID: I20110914000386
Medical Identifiers
Medical identifiers for Mrs Marina Suzanne Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033408828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | APN15768 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | APN15768 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN0000015768 (Tennessee) | 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. Mrs Marina Suzanne Holloway allows following entities to bill medicare on her behalf.
| Entity Name | Spectrum Pain Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265533897
PECOS PAC ID: 4183538887
Enrollment ID: O20031117000830 |
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| Entity Name | Np Health Of Tn Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841888591
PECOS PAC ID: 5395159883
Enrollment ID: O20210125000777 |
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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. Mrs Marina Suzanne Holloway 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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Mrs Marina Suzanne Holloway, FNP
311 S 3rd St,
Union City, TN 38261-3723
Ph: (731) 507-0062 | Mrs Marina Suzanne Holloway, FNP
230 E James M Campbell Blvd Ste 102,
Columbia, TN 38401
Ph: (931) 840-9588 |
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