Holly C Hacking, RN in Vernal, UT - Medicare Nurse Practitioner

Holly C Hacking, RN is a medicare enrolled "Nurse Practitioner - Family" in Vernal, Utah. Her current practice location is 1611 W 2450 N, Vernal, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 790-3347.

Holly C Hacking is licensed to practice in Utah (license number 327253-4405) 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 1053995688.

Contact Information

	Holly C Hacking, RN
	1611 W 2450 N, Vernal, UT 84078-9651
	(435) 790-3347
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly C Hacking
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1611 W 2450 N, Vernal, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053995688
Provider Enumeration Date: 05/10/2021
Last Update Date: 02/02/2022

Medicare PECOS Information:

PECOS PAC ID: 3274915210
Enrollment ID: I20220808000667

Medical Identifiers

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

Identifier	Type	State	Issuer
1053995688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	327253-3102 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	327253-4405 (Utah)	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 C Hacking allows following entities to bill medicare on her behalf.

Entity Name	Senior Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134721228 PECOS PAC ID: 6305260746 Enrollment ID: O20200720000334

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 C Hacking 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 C Hacking, RN 1611 W 2450 N, Vernal, UT 84078-9651 Ph: (435) 790-3347	Holly C Hacking, RN 1611 W 2450 N, Vernal, UT 84078-9651 Ph: (435) 790-3347

Reviews and Comments

Nurse Practitioner Nurses in Vernal, UT

Mr. Alec Higgins Rimmasch Jr., NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 N 100 W Ste 104, Vernal, UT 84078 Phone: 435-781-3053 Fax: 435-781-3055
Kathleen Marie Riordan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 W 100 N Ste N103, Vernal, UT 84078 Phone: 435-421-1514
Sarah Jane Woody, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 379 N 500 W Ste 1a, Vernal, UT 84078 Phone: 435-789-1165
Mrs. Ashley Lynn Russell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 872 W Highway 40, Vernal, UT 84078 Phone: 435-781-8899
Amy Olsen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 379 N 500 W Ste 1a, Vernal, UT 84078 Phone: 435-789-1165 Fax: 435-789-1169
Mr. Eric Reynolds, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1680 W Highway 40 Ste 201, Vernal, UT 84078 Phone: 801-429-2000
Mrs. Laura Lynn Mahler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 266 W 100 N, Suite 6, Vernal, UT 84078 Phone: 435-789-0064 Fax: 435-789-0537

Holly C Hacking, RN - Medicare Nurse Practitioner in Vernal, UT