Holly Marie Hendershot, APRN in Warren, MI - Medicare Nurse Practitioner

Holly Marie Hendershot, APRN is a medicare enrolled "Nurse Practitioner - Family" in Warren, Michigan. Her current practice location is 28800 Ryan Rd Ste 320, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (877) 906-9699.

Holly Marie Hendershot is licensed to practice in Michigan (license number 4704287330) 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 1083366397.

Contact Information

	Holly Marie Hendershot, APRN
	28800 Ryan Rd Ste 320, Warren, MI 48092-4272
	(877) 906-9699
	(866) 227-7418

Map and Direction

Provider's Profile

Full Name	Holly Marie Hendershot
Gender	Female
Speciality	Nurse Practitioner - Family
Location	28800 Ryan Rd Ste 320, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083366397
Provider Enumeration Date: 01/19/2022
Last Update Date: 11/07/2022

Medicare PECOS Information:

PECOS PAC ID: 6406224906
Enrollment ID: I20221114002792

Medical Identifiers

Medical identifiers for Holly Marie Hendershot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083366397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704287330 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	4704287330 (Michigan)	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 Marie Hendershot allows following entities to bill medicare on her behalf.

Entity Name	Vpa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336153295 PECOS PAC ID: 9234041948 Enrollment ID: O20031103000102

Entity Name	Behavioral Care Solutions For Adults And Seniors Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154727147 PECOS PAC ID: 4880918051 Enrollment ID: O20150116000266

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 Hendershot 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 Marie Hendershot, APRN 613 Brown St, Saint Clair, MI 48079-4891 Ph: (810) 887-7858	Holly Marie Hendershot, APRN 28800 Ryan Rd Ste 320, Warren, MI 48092-4272 Ph: (877) 906-9699

Reviews and Comments

Nurse Practitioner Nurses in Warren, MI

Lauren Koenig, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000
Li Song, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29245 Ryan Rd Ste 300, Warren, MI 48092 Phone: 586-578-0222
Olga Dmitryuk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400

Holly Marie Hendershot, APRN - Medicare Nurse Practitioner in Warren, MI