Holly Marie Glanville, APNP is a medicare enrolled "Registered Nurse" in Arcadia, Wisconsin. Her current practice location is
625 W Main St, Arcadia, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 323-3210.
Holly Marie Glanville is licensed to practice in Wisconsin (license number 163555) 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 1750779013.
Provider's Profile
| Full Name | Holly Marie Glanville |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 625 W Main St, Arcadia, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750779013
- Provider Enumeration Date: 01/08/2015
- Last Update Date: 01/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 3072839109
- Enrollment ID: I20150306001260
Medical Identifiers
Medical identifiers for Holly Marie Glanville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750779013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 163555 (Wisconsin) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 6154 (Wisconsin) | Secondary |
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 Marie Glanville allows following entities to bill medicare on her behalf.
| Entity Name | Gundersen Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139 |
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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 Marie Glanville 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 |
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Holly Marie Glanville, APNP
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Holly Marie Glanville, APNP
625 W Main St,
Arcadia, WI 54612-1227
Ph: (608) 323-3210 |
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