Kelly Maureen Holt, in San Diego, CA - Medicare Nurse Practitioner

Kelly Maureen Holt, is a medicare enrolled "Nurse Practitioner - Adult Health" in San Diego, California. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Scripps Health and her current practice location is 4060 4th Ave Ste 100, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 718-9444.

Kelly Maureen Holt is licensed to practice in California (license number 18175) 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 1205169711.

Contact Information

	Kelly Maureen Holt,
	4060 4th Ave Ste 100, San Diego, CA 92103-2120
	(619) 718-9444
	(619) 718-9440

Map and Direction

Provider's Profile

Full Name	Kelly Maureen Holt
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	4060 4th Ave Ste 100, San Diego, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Maureen Holt graduated from nursing school in 2008

NPI Data:

NPI Number: 1205169711
Provider Enumeration Date: 09/15/2009
Last Update Date: 10/03/2011

Medicare PECOS Information:

PECOS PAC ID: 7012195621
Enrollment ID: I20171103000784

Medical Identifiers

Medical identifiers for Kelly Maureen Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205169711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	18175 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Scripps Green Hospital	La jolla, CA	Hospital
Scripps Memorial Hospital La Jolla	La jolla, CA	Hospital
Scripps Memorial Hospital - Encinitas	Encinitas, CA	Hospital
Scripps Mercy Hospital	San diego, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Scripps Health	9234033853	1365

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. Kelly Maureen Holt allows following entities to bill medicare on her behalf.

Entity Name	Scripps Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822

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. Kelly Maureen Holt 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
Kelly Maureen Holt, 4060 4th Ave Ste 100, San Diego, CA 92103 Ph: (619) 718-9444	Kelly Maureen Holt, 4060 4th Ave Ste 100, San Diego, CA 92103-2120 Ph: (619) 718-9444

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Kelly Maureen Holt, - Medicare Nurse Practitioner in San Diego, CA