Holly Catherine Girdeen, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Maiden Rock, Wisconsin. Her current practice location is
W3719 330th Ave, Maiden Rock, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 220-8711.
Holly Catherine Girdeen is licensed to practice in Minnesota (license number AG08210126) 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 1326700360.
Provider's Profile
| Full Name | Holly Catherine Girdeen |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Primary Care |
|---|
| Location | W3719 330th Ave, Maiden Rock, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1326700360
- Provider Enumeration Date: 10/07/2021
- Last Update Date: 10/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082083993
- Enrollment ID: I20221216000672
Medical Identifiers
Medical identifiers for Holly Catherine Girdeen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326700360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP2300X | Nurse Practitioner - Primary Care | AG08210126 (Minnesota) | 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 Catherine Girdeen allows following entities to bill medicare on her behalf.
| Entity Name | Northern Lights Health Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1316581440
PECOS PAC ID: 6305278797
Enrollment ID: O20191125001002 |
|---|
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 Catherine Girdeen 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 Catherine Girdeen, NP
W3719 330th Ave,
Maiden Rock, WI 54750-8900
Ph: (715) 220-8711 | Holly Catherine Girdeen, NP
W3719 330th Ave,
Maiden Rock, WI 54750-8900
Ph: (715) 220-8711 |
Reviews and Comments