Holly Mattern, is a
Nurse Practitioner - Family based in Eagle Bute, South Dakota. Holly Mattern is licensed to practice in South Dakota (license number 002442) and her current practice location is
24276 166th Street Airport Rd, Eagle Bute, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 964-0666.
NPI number for Holly Mattern is 1922452531 and her current mailing address is 14744 Sd Highway 65, Isabel, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922452531.
Provider's Profile
| Full Name | Holly Mattern |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 24276 166th Street Airport Rd, Eagle Bute, South Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922452531
- Provider Enumeration Date: 04/20/2016
- Last Update Date: 08/05/2022
Medical Identifiers
Medical identifiers for Holly Mattern such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922452531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R038851 (South Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 002442 (South Dakota) | Primary |
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 Mattern is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Holly Mattern,
14744 Sd Highway 65,
Isabel, SD 57633-8513
Ph: (701) 351-1595 | Holly Mattern,
24276 166th Street Airport Rd,
Eagle Bute, SD 57625
Ph: (605) 964-0666 |
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