Christine Corado Holman, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Lakeside, California. Her current practice location is
10039 Vine St, Lakeside, California. You can reach out to her office (for appointments etc.) via phone at
(833) 867-4642.
Christine Corado Holman is licensed to practice in California (license number NP95022993) 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 1710683388.
Provider's Profile
Full Name | Christine Corado Holman |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 10039 Vine St, Lakeside, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710683388
- Provider Enumeration Date: 02/06/2023
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002289717
- Enrollment ID: I20230228001784
Medical Identifiers
Medical identifiers for Christine Corado Holman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710683388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | NP95022993 (California) | 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. Christine Corado Holman allows following entities to bill medicare on her behalf.
Entity Name | Neighborhood Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598703647 PECOS PAC ID: 5294649406 Enrollment ID: O20031112000809 |
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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. Christine Corado Holman 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 |
Christine Corado Holman, NURSE PRACTITIONER 10039 Vine St, Lakeside, CA 92040-3120 Ph: (833) 867-4642 | Christine Corado Holman, NURSE PRACTITIONER 10039 Vine St, Lakeside, CA 92040-3120 Ph: (833) 867-4642 |
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