Mrs Alisha Holloway, APRN in Tifton, GA - Medicare Nurse Practitioner

Mrs Alisha Holloway, APRN is a medicare enrolled "Nurse Practitioner - Family" in Tifton, Georgia. Her current practice location is 39 Kent Rd Ste 5, Tifton, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 353-7337.

Mrs Alisha Holloway is licensed to practice in Georgia (license number RN201312) 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 1992230023.

Contact Information

	Mrs Alisha Holloway, APRN
	39 Kent Rd Ste 5, Tifton, GA 31794-1697
	(229) 353-7337
	(229) 391-4051

Map and Direction

Provider's Profile

Full Name	Mrs Alisha Holloway
Gender	Female
Speciality	Nurse Practitioner - Family
Location	39 Kent Rd Ste 5, Tifton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992230023
Provider Enumeration Date: 04/26/2017
Last Update Date: 03/24/2021

Medicare PECOS Information:

PECOS PAC ID: 5294004016
Enrollment ID: I20170710002117

Medical Identifiers

Medical identifiers for Mrs Alisha Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992230023	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN201312 (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. Mrs Alisha Holloway allows following entities to bill medicare on her behalf.

Entity Name	Tift Regional Health System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064

Entity Name	Tift Regional Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409

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. Mrs Alisha Holloway 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
Mrs Alisha Holloway, APRN 907 18th St E Ste 400, Tifton, GA 31794-3684 Ph: (229) 353-3422	Mrs Alisha Holloway, APRN 39 Kent Rd Ste 5, Tifton, GA 31794-1697 Ph: (229) 353-7337

Reviews and Comments

Nurse Practitioner Nurses in Tifton, GA

Mrs. Lisa Dian Smith, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 Lee Ave, Tifton, GA 31794 Phone: 229-386-1528 Fax: 229-388-0556
Ana Alicia Gomez Nova, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 Phone: 229-445-3509
Callie Haynes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1622 Madison Ave, Tifton, GA 31794 Phone: 229-387-8061
Hannah Janleigh Vickers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1948 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-391-3500 Fax: 229-391-3499
Rachel Ware Holloway, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100
David Ryan Atkins, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Dola Tejaskumar Patel, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 334 Tifton Eldorado Rd, Tifton, GA 31794 Phone: 229-391-2301 Fax: 229-386-3221

Mrs Alisha Holloway, APRN - Medicare Nurse Practitioner in Tifton, GA