Holly Berthod, APRN in Pascoag, RI - Medicare Nurse Practitioner

Holly Berthod, APRN is a medicare enrolled "Nurse Practitioner - Women's Health" in Pascoag, Rhode Island. Her current practice location is 99 Pascoag Main St, Pascoag, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 744-3374.

Holly Berthod is licensed to practice in Rhode Island (license number APRN02465) 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 1053903443.

Contact Information

	Holly Berthod, APRN
	99 Pascoag Main St, Pascoag, RI 02859-3103
	(401) 744-3374
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Berthod
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	99 Pascoag Main St, Pascoag, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053903443
Provider Enumeration Date: 02/07/2021
Last Update Date: 06/23/2021

Medicare PECOS Information:

PECOS PAC ID: 0143699728
Enrollment ID: I20221205001251

Medical Identifiers

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

Identifier	Type	State	Issuer
1053903443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	APRN02465 (Rhode Island)	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 Berthod allows following entities to bill medicare on her behalf.

Entity Name	Southern New England Healthcare For Women, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699058826 PECOS PAC ID: 0042486649 Enrollment ID: O20120103000614

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 Berthod 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 Berthod, APRN 99 Pascoag Main St, Pascoag, RI 02859-3103 Ph: (401) 744-3374	Holly Berthod, APRN 99 Pascoag Main St, Pascoag, RI 02859-3103 Ph: (401) 744-3374

Reviews and Comments

Nurse Practitioner Nurses in Pascoag, RI

Mr. Charles D Fraser, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-567-0800 Fax: 401-568-7949
Elizabeth J Cockerline, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-567-0800 Fax: 401-568-7949
Stephanie Pinto, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-567-0800
Yexi Susana Menard, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 299 Staghead Dr, Pascoag, RI 02859 Phone: 401-405-6915
Miss Kathy Doris Martin, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Town Farm Rd, Pascoag, RI 02859 Phone: 401-767-6310
Joan K Mullaney, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-567-0800

Holly Berthod, APRN - Medicare Nurse Practitioner in Pascoag, RI