Holly Wilson, NP-C in Booneville, MS - Medicare Nurse Practitioner

Holly Wilson, NP-C is a medicare enrolled "Nurse Practitioner" in Booneville, Mississippi. Her current practice location is 100 Hospital St Ste 300, Booneville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 728-2147.

Holly Wilson is licensed to practice in Mississippi (license number 903586) 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 1407407273.

Contact Information

	Holly Wilson, NP-C
	100 Hospital St Ste 300, Booneville, MS 38829-3354
	(662) 728-2147
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Wilson
Gender	Female
Speciality	Nurse Practitioner
Location	100 Hospital St Ste 300, Booneville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407407273
Provider Enumeration Date: 09/24/2019
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 2769814516
Enrollment ID: I20191115001177

Medical Identifiers

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

Identifier	Type	State	Issuer
1407407273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	903586 (Mississippi)	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 Wilson allows following entities to bill medicare on her behalf.

Entity Name	North Mississippi Pulmonology Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376764167 PECOS PAC ID: 3971676107 Enrollment ID: O20080722000402

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 Wilson 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 Wilson, NP-C 965 Ridge Lake Blvd, Memphis, TN 38120-9401 Ph: (901) 227-4692	Holly Wilson, NP-C 100 Hospital St Ste 300, Booneville, MS 38829-3354 Ph: (662) 728-2147

Reviews and Comments

Nurse Practitioner Nurses in Booneville, MS

Mrs. Marilyn Rhoads Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 N 1st St, Ste A, Booneville, MS 38829 Phone: 662-340-1138 Fax: 662-728-5185
Mrs. Brandi Jo Lambert, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2209 N 2nd St, Booneville, MS 38829 Phone: 662-728-0162
Mrs. Lauren Hall Sparks, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hospital St, Suite 200, Booneville, MS 38829 Phone: 662-720-3000 Fax: 662-720-3069
Amanda Paige Michael, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Quail Run, Booneville, MS 38829 Phone: 662-554-9264
Amber Allison Choate, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 N 1st St Ste B, Booneville, MS 38829 Phone: 662-554-9252
Crystal N Massey, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 N 1st St, Booneville, MS 38829 Phone: 662-728-3313 Fax: 662-728-5623
Katie Kerr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1115 N 2nd St Ste 1, Booneville, MS 38829 Phone: 662-480-4141

Holly Wilson, NP-C - Medicare Nurse Practitioner in Booneville, MS