Gail Adeline Rosenholm, PNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jamesville, New York. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Upstate Cerebral Palsy Inc and her current practice location is
6713 Serah Ln, Jamesville, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 380-6195.
Gail Adeline Rosenholm is licensed to practice in New York (license number F406079-01) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063075430.
Provider's Profile
| Full Name | Gail Adeline Rosenholm |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 6713 Serah Ln, Jamesville, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gail Adeline Rosenholm graduated from nursing school in 2024
NPI Data:
- NPI Number: 1063075430
- Provider Enumeration Date: 04/20/2019
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406378827
- Enrollment ID: I20250314001951
Medical Identifiers
Medical identifiers for Gail Adeline Rosenholm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063075430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 656692 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F406079-01 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Upstate Cerebral Palsy Inc | 5496734758 | 21 |
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. Gail Adeline Rosenholm allows following entities to bill medicare on her behalf.
| Entity Name | Upstate Cerebral Palsy Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780636506
PECOS PAC ID: 5496734758
Enrollment ID: O20040719001380 |
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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. Gail Adeline Rosenholm 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 |
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Gail Adeline Rosenholm, PNP
6713 Serah Ln,
Jamesville, NY 13078-9690
Ph: (315) 426-3600 | Gail Adeline Rosenholm, PNP
6713 Serah Ln,
Jamesville, NY 13078-9690
Ph: (315) 380-6195 |
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