Holly E Harmon, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Oblong, Illinois. 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 Crawford Hospital District and her current practice location is
1366 E 1050th Ave, Oblong, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 592-3119.
Holly E Harmon is licensed to practice in Illinois (license number 209.019582) 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 1013579820.
Provider's Profile
Full Name | Holly E Harmon |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 1366 E 1050th Ave, Oblong, Illinois |
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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 E Harmon graduated from nursing school in 2019
NPI Data:
- NPI Number: 1013579820
- Provider Enumeration Date: 07/01/2019
- Last Update Date: 08/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 3971835380
- Enrollment ID: I20191104001250
Medical Identifiers
Medical identifiers for Holly E Harmon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013579820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.019582 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Crawford Hospital District | 7719898071 | 54 |
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 E Harmon allows following entities to bill medicare on her behalf.
Entity Name | Crawford Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950 |
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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 E Harmon 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 E Harmon, PMHNP 1366 E 1050th Ave, Oblong, IL 62449-2409 Ph: (618) 592-3119 | Holly E Harmon, PMHNP 1366 E 1050th Ave, Oblong, IL 62449-2409 Ph: (618) 592-3119 |
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