Holly Berryman Backe, CRNP in Decatur, AL - Medicare Nurse Practitioner

Holly Berryman Backe, CRNP is a medicare enrolled "Nurse Practitioner" in Decatur, Alabama. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nephrology Of North Alabama P.c. and her current practice location is 1216 Somerville Rd Se, Decatur, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 340-0012.

Holly Berryman Backe is licensed to practice in Alabama (license number 1-139307) 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 1275166175.

Contact Information

	Holly Berryman Backe, CRNP
	1216 Somerville Rd Se, Decatur, AL 35601-4335
	(256) 340-0012
	(256) 340-1408

Map and Direction

Provider's Profile

Full Name	Holly Berryman Backe
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1216 Somerville Rd Se, Decatur, Alabama
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 Berryman Backe graduated from nursing school in 2019

NPI Data:

NPI Number: 1275166175
Provider Enumeration Date: 02/19/2020
Last Update Date: 03/16/2020

Medicare PECOS Information:

PECOS PAC ID: 6608205083
Enrollment ID: I20200406003048

Medical Identifiers

Medical identifiers for Holly Berryman Backe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275166175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-139307 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Decatur Morgan Hospital - Decatur Campus	Decatur, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nephrology Of North Alabama P.c.	4082682745	6

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 Berryman Backe allows following entities to bill medicare on her behalf.

Entity Name	Nephrology Of North Alabama P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417981622 PECOS PAC ID: 4082682745 Enrollment ID: O20040921000022

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 Berryman Backe 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 Berryman Backe, CRNP 2301 Dogwood Ln Se, Decatur, AL 35601-5317 Ph: (256) 476-2295	Holly Berryman Backe, CRNP 1216 Somerville Rd Se, Decatur, AL 35601-4335 Ph: (256) 340-0012

Reviews and Comments

Nurse Practitioner Nurses in Decatur, AL

Charles Edward Fortenberry, R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362
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Ranjanben B Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-705-4224 Fax: 256-705-4135
Megan Lynn Sanford, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2422 Danville Rd Sw Ste E, Decatur, AL 35603 Phone: 256-355-9040 Fax: 256-355-9048
Kimberly Lee Randolph, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2205 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-306-4000

Holly Berryman Backe, CRNP - Medicare Nurse Practitioner in Decatur, AL