Holly N Douglas, CNM in Fayetteville, NC - Medicare Advanced Practice Midwife

Holly N Douglas, CNM is a medicare enrolled "Advanced Practice Midwife" in Fayetteville, North Carolina. Her current practice location is 2029 Valleygate Dr Ste 101, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 323-2103.

Holly N Douglas is licensed to practice in North Carolina (license number CNM854) 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 1588372841.

Contact Information

	Holly N Douglas, CNM
	2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3772
	(910) 323-2103
	(910) 323-2219

Map and Direction

Provider's Profile

Full Name	Holly N Douglas
Gender	Female
Speciality	Advanced Practice Midwife
Location	2029 Valleygate Dr Ste 101, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588372841
Provider Enumeration Date: 11/07/2022
Last Update Date: 11/07/2022

Medicare PECOS Information:

PECOS PAC ID: 9739557794
Enrollment ID: I20221122002229

Medical Identifiers

Medical identifiers for Holly N Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588372841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	CNM854 (North Carolina)	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 N Douglas allows following entities to bill medicare on her behalf.

Entity Name	Uwh Of The Carolinas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639506470 PECOS PAC ID: 0042448169 Enrollment ID: O20140118000107

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 N Douglas 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 N Douglas, CNM 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3772 Ph: (910) 323-2103	Holly N Douglas, CNM 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3772 Ph: (910) 323-2103

Reviews and Comments

Advanced Practice Midwife Nurses in Fayetteville, NC

Brittany Holmes, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1341 Walter Reed Rd, Fayetteville, NC 28304 Phone: 910-615-3500
Elizabeth Joy Cordero, CNM, WHNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 252-665-3247
Mrs. Hope Beatty-ellis, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2135 Valleygate Dr Ste 101, Fayetteville, NC 28304 Phone: 910-920-1858 Fax: 910-339-9040
Mrs. Vernetta M Swinney, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304 Phone: 910-323-2103 Fax: 910-323-1781
Myna Elizabeth Smith, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2301 Robeson St, Suite 201, Fayetteville, NC 28305 Phone: 910-485-1191 Fax: 910-485-6006
Marlo Rebecca Sharp, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3601 Cape Center Dr, Fayetteville, NC 28304 Phone: 910-484-3101 Fax: 910-223-0466

Holly N Douglas, CNM - Medicare Advanced Practice Midwife in Fayetteville, NC