Holly Marie Short, FNP in Fuquay Varina, NC - Medicare Nurse Practitioner

Holly Marie Short, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fuquay Varina, North Carolina. Her current practice location is 2400 N Main St, Fuquay Varina, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 235-6499.

Holly Marie Short is licensed to practice in North Carolina (license number 5012132) 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 1285280313.

Contact Information

	Holly Marie Short, FNP
	2400 N Main St, Fuquay Varina, NC 27526-8573
	(919) 235-6499
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Marie Short
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2400 N Main St, Fuquay Varina, 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: 1285280313
Provider Enumeration Date: 08/14/2019
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4183056989
Enrollment ID: I20191116000279

Medical Identifiers

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

Identifier	Type	State	Issuer
1285280313	NPI	-	NPPES
1285280313	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5012132 (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 Marie Short allows following entities to bill medicare on her behalf.

Entity Name	Raleigh Neurosurgical Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598702490 PECOS PAC ID: 1759315500 Enrollment ID: O20050923000575

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503

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 Short 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 Short, FNP Po Box 602195, Charlotte, NC 28260-2195 Ph: (919) 350-0351	Holly Marie Short, FNP 2400 N Main St, Fuquay Varina, NC 27526-8573 Ph: (919) 235-6499

Reviews and Comments

Nurse Practitioner Nurses in Fuquay Varina, NC

Mrs. Lauren Ann Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 N Main St, Fuquay Varina, NC 27526 Phone: 866-389-2727
Natalie Morreale, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Procure St, Suite 100, Fuquay Varina, NC 27526 Phone: 919-577-9952 Fax: 919-577-9946
Mrs. Jamie Marie Ruebhausen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1617 N Main St, Fuquay Varina, NC 27526 Phone: 919-577-9952
Amy Elizabeth Cate, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 N Main St, Fuquay Varina, NC 27526 Phone: 615-289-5001
Stephanie Katherine Lastra, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 E Academy St, Fuquay Varina, NC 27526 Phone: 910-390-0363 Fax: 315-496-7529
Ms. Debra Sue Watson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Attain St Ste 202, Fuquay Varina, NC 27526 Phone: 541-425-7545 Fax: 541-425-5557
Janet Kemunto Ongechi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 S Judd Pkwy Se, Fuquay Varina, NC 27526 Phone: 763-222-0963

Holly Marie Short, FNP - Medicare Nurse Practitioner in Fuquay Varina, NC