Holly Rene, NP in Evanston, IL - Medicare Nurse Practitioner

Holly Rene, NP is a medicare enrolled "Nurse Practitioner" in Evanston, Illinois. Her current practice location is 2650 Ridge Ave, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-1027.

Holly Rene is licensed to practice in Illinois (license number 209-004790) 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 1023202116.

Contact Information

	Holly Rene, NP
	2650 Ridge Ave, Evanston, IL 60201-1700
	(847) 570-1027
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Rene
Gender	Female
Speciality	Nurse Practitioner
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023202116
Provider Enumeration Date: 08/31/2007
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6608932025
Enrollment ID: I20090309000591

Medical Identifiers

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

Identifier	Type	State	Issuer
1023202116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209-004790 (Illinois)	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 Rene allows following entities to bill medicare on her behalf.

Entity Name	University Of Chicago
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094

Entity Name	The University Of Chicago Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031113000198

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 Rene 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 Rene, NP 5841 S Maryland Ave, Chicago, IL 60637-1447 Ph: (773) 702-1000	Holly Rene, NP 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-1027

Reviews and Comments

Nurse Practitioner Nurses in Evanston, IL

Marlene Angelico, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine, Rm G903c, Evanston, IL 60201 Phone: 847-570-1355 Fax: 847-570-1223
Emily Pableo Pinol, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3811
Reba Elizabeth Mathew, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Asbury Ave # 316-3320, Evanston, IL 60202 Phone: 847-316-3320
Mrs. Monika Marrero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-425-6400
Manijeh Ghafouri, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Central St, Evanston, IL 60201 Phone: 847-869-3800
Regina Munoz, APN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Central St Ste 610, Evanston, IL 60201 Phone: 847-570-1029 Fax: 847-733-5318

Holly Rene, NP - Medicare Nurse Practitioner in Evanston, IL