Jessicalee P Hollis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Heuvelton, New York. Her current practice location is
103 Rensselaer St, Heuvelton, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 344-6621.
Jessicalee P Hollis is licensed to practice in New York (license number 341842) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508388901.
Provider's Profile
| Full Name | Jessicalee P Hollis |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 103 Rensselaer St, Heuvelton, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessicalee P Hollis attended and graduated from in
NPI Data:
- NPI Number: 1508388901
- Provider Enumeration Date: 07/07/2017
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jessicalee P Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508388901 | NPI | - | NPPES |
| 04889438 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 341842 (New York) | Primary |
| 363L00000X | Nurse Practitioner | 341842 (New York) | Secondary |
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. Jessicalee P Hollis 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 |
|---|
Jessicalee P Hollis, FNP-C
103 Rensselaer St,
Heuvelton, NY 13654-3137
Ph: (315) 344-6621 | Jessicalee P Hollis, FNP-C
103 Rensselaer St,
Heuvelton, NY 13654-3137
Ph: (315) 344-6621 |
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