Chase Holtman, in Havana, IL - Medicare Nurse Practitioner

Chase Holtman, is a medicare enrolled "Nurse Practitioner - Family" in Havana, Illinois. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mason Hospital District, Osf Multi-specialty Group and his current practice location is 615 N Promenade St, Havana, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 543-6600.

Chase Holtman is licensed to practice in Illinois (license number 209.016758) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912418799.

Contact Information

	Chase Holtman,
	615 N Promenade St, Havana, IL 62644-1243
	(309) 543-6600
	(309) 543-2089

Map and Direction

Provider's Profile

Full Name	Chase Holtman
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	615 N Promenade St, Havana, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chase Holtman graduated from nursing school in 2017

NPI Data:

NPI Number: 1912418799
Provider Enumeration Date: 10/19/2017
Last Update Date: 10/19/2017

Medicare PECOS Information:

PECOS PAC ID: 6608136007
Enrollment ID: I20180202001873

Medical Identifiers

Medical identifiers for Chase Holtman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912418799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.016758 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mason Hospital District	2466360607	33
Osf Multi-specialty Group	3678889789	1552

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. Chase Holtman allows following entities to bill medicare on his behalf.

Entity Name	Mason Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902849649 PECOS PAC ID: 2466360607 Enrollment ID: O20040412000399

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Chase Holtman 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
Chase Holtman, 615 N Promenade St, Havana, IL 62644-1243 Ph: (309) 543-6600	Chase Holtman, 615 N Promenade St, Havana, IL 62644-1243 Ph: (309) 543-6600

Reviews and Comments

Nurse Practitioner Nurses in Havana, IL

Elizabeth Ballinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 E Main St, Havana, IL 62644 Phone: 217-685-2486
Ashley Marmon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12528 Sr 78, Havana, IL 62644 Phone: 309-543-4253 Fax: 309-543-1060
Kali Troxell, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600
Marsha R Kirchner, CF-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 Fax: 309-543-2089
Rachel Lynn Davenport, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 Fax: 866-950-0270
Kaitlyn Lee Fields, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600

Chase Holtman, - Medicare Nurse Practitioner in Havana, IL