Holly Dawn Roberson, FNP-C in Desoto, TX - Medicare Nurse Practitioner

Holly Dawn Roberson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Desoto, Texas. Her current practice location is 2715 Bolton Boone Dr Ste A, Desoto, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 636-4468.

Holly Dawn Roberson is licensed to practice in Texas (license number 1074210) 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 1871236414.

Contact Information

	Holly Dawn Roberson, FNP-C
	2715 Bolton Boone Dr Ste A, Desoto, TX 75115-2079
	(972) 636-4468
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Dawn Roberson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2715 Bolton Boone Dr Ste A, Desoto, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871236414
Provider Enumeration Date: 04/20/2022
Last Update Date: 10/10/2024

Medicare PECOS Information:

PECOS PAC ID: 4981068020
Enrollment ID: I20230908000106

Medical Identifiers

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

Identifier	Type	State	Issuer
1871236414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1074210 (Texas)	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 Dawn Roberson allows following entities to bill medicare on her behalf.

Entity Name	Cedar Hill Pain & Rehab, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922148550 PECOS PAC ID: 1052402989 Enrollment ID: O20070807000762

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 Dawn Roberson 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 Dawn Roberson, FNP-C 540 Smith Rd, Maypearl, TX 76064-2029 Ph: (214) 632-6807	Holly Dawn Roberson, FNP-C 2715 Bolton Boone Dr Ste A, Desoto, TX 75115-2079 Ph: (972) 636-4468

Reviews and Comments

Nurse Practitioner Nurses in Desoto, TX

Emelda Olisaeke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 941 York Dr, Desoto, TX 75115 Phone: 972-283-6286
Margaret Uyai Okon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 N Hampton Rd, Suite 100, Desoto, TX 75115 Phone: 972-228-3678
Etenesh Molla, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2727 Bolton Boone Dr Ste 109, Desoto, TX 75115 Phone: 469-988-4277
Lori Elizabeth Secerovic, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 South Interstate 35 East, Desoto, TX 75115 Phone: 469-341-7800
Smart Nwachukwu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 341 Crystal Lake Dr, Desoto, TX 75115 Phone: 214-872-0280
Crystal Taylor Capler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 York Dr Ste 105, Desoto, TX 75115 Phone: 214-242-9316
Jennifer Mccormack, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2715 Bolton Boone Dr Ste B, Desoto, TX 75115 Phone: 972-780-8009 Fax: 972-780-6115

Holly Dawn Roberson, FNP-C - Medicare Nurse Practitioner in Desoto, TX