Mr Carl A Holborn, NURSE PRACTITIONER in Waukesha, WI

Mr Carl A Holborn, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Waukesha, Wisconsin. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Prohealth Medical Group Inc and his current practice location is 725 American Ave, Waukesha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 928-1000.

Mr Carl A Holborn is licensed to practice in Wisconsin (license number 10588) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912597063.

Contact Information

	Mr Carl A Holborn, NURSE PRACTITIONER
	725 American Ave, Waukesha, WI 53188-5031
	(262) 928-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Carl A Holborn
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	725 American Ave, Waukesha, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Carl A Holborn graduated from nursing school in 2020

NPI Data:

NPI Number: 1912597063
Provider Enumeration Date: 01/22/2021
Last Update Date: 01/22/2021

Medicare PECOS Information:

PECOS PAC ID: 7416362439
Enrollment ID: I20210224001205

Medical Identifiers

Medical identifiers for Mr Carl A Holborn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912597063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	10588 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Waukesha Memorial Hospital	Waukesha, WI	Hospital
Oconomowoc Memorial Hospital	Oconomowoc, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prohealth Medical Group Inc	3476465188	416

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. Mr Carl A Holborn allows following entities to bill medicare on his behalf.

Entity Name	Prohealth Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Midwest Critical Care Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093425647 PECOS PAC ID: 4486026804 Enrollment ID: O20230214000166

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. Mr Carl A Holborn 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
Mr Carl A Holborn, NURSE PRACTITIONER 3428 S 113th St Apt 5, West Allis, WI 53227-3935 Ph: (262) 914-0874	Mr Carl A Holborn, NURSE PRACTITIONER 725 American Ave, Waukesha, WI 53188-5031 Ph: (262) 928-1000

Reviews and Comments

Nurse Practitioner Nurses in Waukesha, WI

Katelyn Ryman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N20w22961 Watertown Rd, Waukesha, WI 53186 Phone: 262-875-5070
Mr. Carla L Foley, MSN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20611 Watertown Rd, Waukesha, WI 53186 Phone: 262-798-1910
Annette Quinn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 American Ave, Prohealth Care Women's Center, Waukesha, WI 53188 Phone: 262-928-3500
Renelle L Staus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-896-6000
Ms. Danielle Marie Bernacchi, MSN, FNP-C, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W308s2809 Wild Berry Ct, Waukesha, WI 53188 Phone: 262-391-0575
Miss Amelia Tollefson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1130 W Sunset Dr, Waukesha, WI 53189 Phone: 866-389-2727
Katie L Scott, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave Ste 310, Waukesha, WI 53188 Phone: 262-928-5900

Mr Carl A Holborn, NURSE PRACTITIONER - Medicare Nurse Practitioner in Waukesha, WI