Mrs Amanda M Holder, FNP-C in Brighton, TN - Medicare Nurse Practitioner

Mrs Amanda M Holder, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Brighton, Tennessee. Her current practice location is 1880 Old Highway 51 S Ste C, Brighton, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 837-7979.

Mrs Amanda M Holder is licensed to practice in Tennessee (license number 31927) 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 1164199089.

Contact Information

	Mrs Amanda M Holder, FNP-C
	1880 Old Highway 51 S Ste C, Brighton, TN 38011-8025
	(901) 837-7979
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amanda M Holder
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1880 Old Highway 51 S Ste C, Brighton, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164199089
Provider Enumeration Date: 08/27/2021
Last Update Date: 06/30/2022

Medicare PECOS Information:

PECOS PAC ID: 6103200845
Enrollment ID: I20220830003345

Medical Identifiers

Medical identifiers for Mrs Amanda M Holder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164199089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	219734 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	31927 (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 Amanda M Holder allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093016651 PECOS PAC ID: 0941480131 Enrollment ID: O20110204000483

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 Amanda M Holder 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
Mrs Amanda M Holder, FNP-C 1880 Old Highway 51 S Ste C, Brighton, TN 38011-8025 Ph: (901) 837-7979	Mrs Amanda M Holder, FNP-C 1880 Old Highway 51 S Ste C, Brighton, TN 38011-8025 Ph: (901) 837-7979

Reviews and Comments

Nurse Practitioner Nurses in Brighton, TN

Teresa M Wallace, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1880 Old Highway 51 S Ste C, Brighton, TN 38011 Phone: 901-837-7979 Fax: 901-837-7999
Mrs. Erica Gray, COO Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8440 Highway 51 S Ste B, Brighton, TN 38011 Phone: 901-486-0777 Fax: 662-673-3452
Destiny Lashay Woodard, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10070 Mcquiston Rd, Brighton, TN 38011 Phone: 870-225-9489
Mrs. Pamela Garner, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5847 Atoka Idaville Rd, Brighton, TN 38011 Phone: 901-837-0701

Mrs Amanda M Holder, FNP-C - Medicare Nurse Practitioner in Brighton, TN