Holly Beavers, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bandy, Virginia. Her current practice location is
1745 Panther Branch Rd, Bandy, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 971-6165.
Holly Beavers is licensed to practice in Virginia (license number 0024188868) 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 1245007186.
Provider's Profile
| Full Name | Holly Beavers |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1745 Panther Branch Rd, Bandy, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245007186
- Provider Enumeration Date: 12/11/2023
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820436926
- Enrollment ID: I20240409002954
Medical Identifiers
Medical identifiers for Holly Beavers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245007186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 0024188868 (Virginia) | 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. Holly Beavers allows following entities to bill medicare on her behalf.
| Entity Name | Preferred Hospice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730293614
PECOS PAC ID: 6002884327
Enrollment ID: O20200928002620 |
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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. Holly Beavers 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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Holly Beavers, FNP-C
Po Box 596,
Cedar Bluff, VA 24609-0596
Ph: () - | Holly Beavers, FNP-C
1745 Panther Branch Rd,
Bandy, VA 24602
Ph: (276) 971-6165 |
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