Holly Kaylin Rosamond, in Jackson, MS - Medicare Nurse Practitioner

Holly Kaylin Rosamond, is a medicare enrolled "Nurse Practitioner" in Jackson, Mississippi. Her current practice location is 1190 N State St Ste 502, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 944-1781.

Holly Kaylin Rosamond is licensed to practice in Mississippi (license number 899099) 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 1316677446.

Contact Information

	Holly Kaylin Rosamond,
	1190 N State St Ste 502, Jackson, MS 39202-2414
	(601) 944-1781
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Kaylin Rosamond
Gender	Female
Speciality	Nurse Practitioner
Location	1190 N State St Ste 502, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316677446
Provider Enumeration Date: 06/13/2022
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 5991189565
Enrollment ID: I20220831000330

Medical Identifiers

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

Identifier	Type	State	Issuer
1316677446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	899099 (Mississippi)	Secondary
363L00000X	Nurse Practitioner	899099 (Mississippi)	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 Kaylin Rosamond allows following entities to bill medicare on her behalf.

Entity Name	Central Surgical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639295009 PECOS PAC ID: 1355359506 Enrollment ID: O20060329000399

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 Kaylin Rosamond 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 Kaylin Rosamond, 1190 N State St Ste 502, Jackson, MS 39202-2414 Ph: (601) 944-1781	Holly Kaylin Rosamond, 1190 N State St Ste 502, Jackson, MS 39202-2414 Ph: (601) 944-1781

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Holly Kaylin Rosamond, - Medicare Nurse Practitioner in Jackson, MS