Alisha Kristine Holben, PMHNP-BC in Mesa, AZ - Medicare Nurse Practitioner

Alisha Kristine Holben, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. Her current practice location is 560 S Bellview, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (276) 623-7851.

Alisha Kristine Holben is licensed to practice in Arizona (license number 288878) 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 1003516006.

Contact Information

	Alisha Kristine Holben, PMHNP-BC
	560 S Bellview, Mesa, AZ 85204-2504
	(276) 623-7851
	Not Available

Map and Direction

Provider's Profile

Full Name	Alisha Kristine Holben
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	560 S Bellview, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003516006
Provider Enumeration Date: 03/08/2023
Last Update Date: 07/30/2024

Medicare PECOS Information:

PECOS PAC ID: 8729447933
Enrollment ID: I20230706002649

Medical Identifiers

Medical identifiers for Alisha Kristine Holben such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003516006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	288878 (Arizona)	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. Alisha Kristine Holben allows following entities to bill medicare on her behalf.

Entity Name	Little Colorado Behavioral Health Center Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134292485 PECOS PAC ID: 4587657465 Enrollment ID: O20040406001303

Entity Name	Community Bridges Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558095315 PECOS PAC ID: 2062699721 Enrollment ID: O20110606000388

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. Alisha Kristine Holben 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
Alisha Kristine Holben, PMHNP-BC 16424 Fern Cir, Abingdon, VA 24210-4886 Ph: (276) 623-7851	Alisha Kristine Holben, PMHNP-BC 560 S Bellview, Mesa, AZ 85204-2504 Ph: (276) 623-7851

Reviews and Comments

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Alisha Kristine Holben, PMHNP-BC - Medicare Nurse Practitioner in Mesa, AZ