Holly A Fay, NP in Portland, OR - Medicare Nurse Practitioner

Holly A Fay, NP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oregon Health And Sciences University/university Medical Group and her current practice location is 3303 S Bond Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-6594.

Holly A Fay is licensed to practice in Oregon (license number 201908142NP-PP) 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 1932756707.

Contact Information

	Holly A Fay, NP
	3303 S Bond Ave, Portland, OR 97239-4501
	(503) 494-6594
	(503) 494-5385

Map and Direction

Provider's Profile

Full Name	Holly A Fay
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3303 S Bond Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly A Fay graduated from nursing school in 2019

NPI Data:

NPI Number: 1932756707
Provider Enumeration Date: 08/26/2019
Last Update Date: 09/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1355773979
Enrollment ID: I20210720003730

Medical Identifiers

Medical identifiers for Holly A Fay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932756707	NPI	-	NPPES
500769164	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	200840955RN (Oregon)	Secondary
363L00000X	Nurse Practitioner	201908142NP-PP (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	201908142NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohsu Hospital And Clinics	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Health And Sciences University/university Medical Group	4880760107	1479

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. Holly A Fay allows following entities to bill medicare on her behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Holly A Fay 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
Holly A Fay, NP 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (866) 617-6855	Holly A Fay, NP 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 494-6594

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Holly A Fay, NP - Medicare Nurse Practitioner in Portland, OR