Mrs Ann Karen Holleman, RN NP in Fremont, CA - Medicare Nurse Practitioner

Mrs Ann Karen Holleman, RN NP is a medicare enrolled "Nurse Practitioner" in Fremont, California. Her current practice location is 39400 Paseo Padre Pkwy, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (510) 248-3254.

Mrs Ann Karen Holleman is licensed to practice in California (license number 224925) 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 1386705853.

Contact Information

	Mrs Ann Karen Holleman, RN NP
	39400 Paseo Padre Pkwy, Fremont, CA 94538-2310
	(510) 248-3254
	(510) 248-5111

Map and Direction

Provider's Profile

Full Name	Mrs Ann Karen Holleman
Gender	Female
Speciality	Nurse Practitioner
Location	39400 Paseo Padre Pkwy, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386705853
Provider Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4082640693
Enrollment ID: I20050714001023

Medical Identifiers

Medical identifiers for Mrs Ann Karen Holleman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386705853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	224925 (California)	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 Ann Karen Holleman allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Ann Karen Holleman 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 Ann Karen Holleman, RN NP 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3254	Mrs Ann Karen Holleman, RN NP 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3254

Reviews and Comments

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Mrs Ann Karen Holleman, RN NP - Medicare Nurse Practitioner in Fremont, CA