Mr Nathan Douglas Holliday, MS, FNP-BC in Wilmette, IL

Mr Nathan Douglas Holliday, MS, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Wilmette, Illinois. 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 Endeavor Health Medical Group and his current practice location is 3131 Lake Ave Unit C, Wilmette, Illinois. You can reach out to his office (for appointments etc.) via phone at (224) 529-1928.

Mr Nathan Douglas Holliday is licensed to practice in Illinois (license number 209.021663) 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 1407464936.

Contact Information

	Mr Nathan Douglas Holliday, MS, FNP-BC
	3131 Lake Ave Unit C, Wilmette, IL 60091-1115
	(224) 529-1928
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Nathan Douglas Holliday
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	3131 Lake Ave Unit C, Wilmette, Illinois
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 Nathan Douglas Holliday graduated from nursing school in 2020

NPI Data:

NPI Number: 1407464936
Provider Enumeration Date: 07/21/2020
Last Update Date: 07/21/2020

Medicare PECOS Information:

PECOS PAC ID: 3072913722
Enrollment ID: I20210616003646

Medical Identifiers

Medical identifiers for Mr Nathan Douglas Holliday such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407464936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.021663 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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 Nathan Douglas Holliday allows following entities to bill medicare on his behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Entity Name	Wellbe Senior Medical Illinois Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306499363 PECOS PAC ID: 4486985199 Enrollment ID: O20191010002358

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 Nathan Douglas Holliday 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 Nathan Douglas Holliday, MS, FNP-BC 3131 Lake Ave Unit C, Wilmette, IL 60091-1115 Ph: (224) 529-1928	Mr Nathan Douglas Holliday, MS, FNP-BC 3131 Lake Ave Unit C, Wilmette, IL 60091-1115 Ph: (224) 529-1928

Reviews and Comments

Nurse Practitioner Nurses in Wilmette, IL

Heather Johnstone, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3822 Lake Ave, Lake Ave., Wilmette, IL 60091 Phone: 847-251-2496
Angela M. Thomas, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 Pawnee Rd, Wilmette, IL 60091 Phone: 773-454-2644 Fax: 773-454-2644
Alyssa Adamus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 Skokie Blvd, Wilmette, IL 60091 Phone: 773-529-5277
Sarah Mathias, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3232 Lake Ave, Wilmette, IL 60091 Phone: 847-318-9330 Fax: 847-256-2313
E. Holly Nelson-johnson, MSN, APN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1808 Wilmette Ave, Wilmette, IL 60091 Phone: 847-840-0708
Ievgeniia Krasnopolskiy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Central Ave, Second Floor, Wilmette, IL 60091 Phone: 847-256-1705 Fax: 847-257-1770

Mr Nathan Douglas Holliday, MS, FNP-BC - Medicare Nurse Practitioner in Wilmette, IL