Jazzmin Holland, in Laurel, MD - Medicare Nurse Practitioner

Jazzmin Holland, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Laurel, Maryland. Her current practice location is 9793 Mountain Laurel Way Apt 2d, Laurel, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 838-2424.

Jazzmin Holland is licensed to practice in Maryland (license number R202068) 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 1316655723.

Contact Information

	Jazzmin Holland,
	9793 Mountain Laurel Way Apt 2d, Laurel, MD 20723-6337
	(240) 838-2424
	Not Available

Map and Direction

Provider's Profile

Full Name	Jazzmin Holland
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9793 Mountain Laurel Way Apt 2d, Laurel, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316655723
Provider Enumeration Date: 11/14/2022
Last Update Date: 12/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9638529100
Enrollment ID: I20231223000223

Medical Identifiers

Medical identifiers for Jazzmin Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316655723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R202068 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R202068 (Maryland)	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. Jazzmin Holland allows following entities to bill medicare on her behalf.

Entity Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952

Entity Name	Spiritual Healing
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003502337 PECOS PAC ID: 7113388802 Enrollment ID: O20230727002041

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. Jazzmin Holland 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
Jazzmin Holland, 9793 Mountain Laurel Way Apt 2d, Laurel, MD 20723-6337 Ph: () -	Jazzmin Holland, 9793 Mountain Laurel Way Apt 2d, Laurel, MD 20723-6337 Ph: (240) 838-2424

Reviews and Comments

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Jazzmin Holland, - Medicare Nurse Practitioner in Laurel, MD