Kathleen Holland, ACNP in Atlanta, GA - Medicare Nurse Practitioner

Kathleen Holland, ACNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Atlanta, Georgia. Her current practice location is 550 Peachtree St Ne Bldg 3245a, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 686-7789.

Kathleen Holland is licensed to practice in Georgia (license number RN071958) 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 1447652698.

Contact Information

	Kathleen Holland, ACNP
	550 Peachtree St Ne Bldg 3245a, Atlanta, GA 30308
	(404) 686-7789
	(404) 686-4779

Map and Direction

Provider's Profile

Full Name	Kathleen Holland
Gender	Female
Speciality	Nurse Practitioner - Critical Care Medicine
Location	550 Peachtree St Ne Bldg 3245a, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447652698
Provider Enumeration Date: 09/18/2014
Last Update Date: 01/21/2019

Medicare PECOS Information:

PECOS PAC ID: 5698075521
Enrollment ID: I20151130000114

Medical Identifiers

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

Identifier	Type	State	Issuer
1447652698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN071958 (Georgia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	RN071958 (Georgia)	Secondary
363LC0200X	Nurse Practitioner - Critical Care Medicine	RN071958 (Georgia)	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. Kathleen Holland allows following entities to bill medicare on her behalf.

Entity Name	Gwinnett Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780747469 PECOS PAC ID: 4284524166 Enrollment ID: O20040316000602

Entity Name	Gwinnett Physician Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035

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. Kathleen 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
Kathleen Holland, ACNP Po Box 1170, Lawrenceville, GA 30046-1170 Ph: (470) 325-0159	Kathleen Holland, ACNP 550 Peachtree St Ne Bldg 3245a, Atlanta, GA 30308 Ph: (404) 686-7789

Reviews and Comments

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Kathleen Holland, ACNP - Medicare Nurse Practitioner in Atlanta, GA