Charlotte Louise Von Holleben, APRN in Safety Harbor, FL

Charlotte Louise Von Holleben, APRN is a medicare enrolled "Nurse Practitioner" in Safety Harbor, Florida. Her current practice location is 3231 Mcmullen Booth Rd, Safety Harbor, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 725-6863.

Charlotte Louise Von Holleben is licensed to practice in Florida (license number 11028799) 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 1013796432.

Contact Information

	Charlotte Louise Von Holleben, APRN
	3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607
	(727) 725-6863
	(727) 725-6734

Map and Direction

Provider's Profile

Full Name	Charlotte Louise Von Holleben
Gender	Female
Speciality	Nurse Practitioner
Location	3231 Mcmullen Booth Rd, Safety Harbor, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013796432
Provider Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 1850830035
Enrollment ID: I20240902000511

Medical Identifiers

Medical identifiers for Charlotte Louise Von Holleben such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013796432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11028799 (Florida)	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. Charlotte Louise Von Holleben allows following entities to bill medicare on her behalf.

Entity Name	Baycare Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718

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. Charlotte Louise Von Holleben 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
Charlotte Louise Von Holleben, APRN 1220 Greybrooke Pl, Oldsmar, FL 34677-5115 Ph: (727) 412-4916	Charlotte Louise Von Holleben, APRN 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 Ph: (727) 725-6863

Reviews and Comments

Nurse Practitioner Nurses in Safety Harbor, FL

Gillian Leeder, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 Phone: 727-785-6011 Fax: 877-331-6124
Danielle Konrad, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1840 Mease Dr Ste 402, Safety Harbor, FL 34695 Phone: 727-330-7652
Lena Marie Willis, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 915 Harbor Hill Dr, Safety Harbor, FL 34695 Phone: 727-902-0205
Stephanos Nicholas Tsongranis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-487-4189
Lisa Marie Lauderdale, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695 Phone: 727-330-7652
Staci Nicole Rosen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1840 Mease Dr Ste 202, Safety Harbor, FL 34695 Phone: 727-725-6246

Charlotte Louise Von Holleben, APRN - Medicare Nurse Practitioner in Safety Harbor, FL