Mrs Enja O Holland, ACNP in Jackson, TN - Medicare Nurse Practitioner

Mrs Enja O Holland, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Jackson, Tennessee. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice West Tennessee Medical Group Inc and her current practice location is 27a Medical Center Dr, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 424-5080.

Mrs Enja O Holland is licensed to practice in Tennessee (license number 14431) 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 1720317191.

Contact Information

	Mrs Enja O Holland, ACNP
	27a Medical Center Dr, Jackson, TN 38301-3949
	(731) 424-5080
	(731) 424-4109

Map and Direction

Provider's Profile

Full Name	Mrs Enja O Holland
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	27a Medical Center Dr, Jackson, Tennessee
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:

Mrs Enja O Holland graduated from nursing school in 1998

NPI Data:

NPI Number: 1720317191
Provider Enumeration Date: 12/15/2009
Last Update Date: 12/20/2018

Medicare PECOS Information:

PECOS PAC ID: 0840321766
Enrollment ID: I20100621000890

Medical Identifiers

Medical identifiers for Mrs Enja O Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720317191	NPI	-	NPPES
119490	Other	TN	RN LICENSE
14431	Other	TN	APN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	14431 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson-madison County General Hospital	Jackson, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West Tennessee Medical Group Inc	3971781006	117

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 Enja O Holland allows following entities to bill medicare on her behalf.

Entity Name	West Tennessee Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009

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 Enja O Holland 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 Enja O Holland, ACNP 1804 Highway 45 Byp Ste 604, Jackson, TN 38305-4403 Ph: (731) 660-7971	Mrs Enja O Holland, ACNP 27a Medical Center Dr, Jackson, TN 38301-3949 Ph: (731) 424-5080

Reviews and Comments

Nurse Practitioner Nurses in Jackson, TN

Katherine E Wyatt, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301
Amy K Lawrence, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8380
Lauren Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1047 Union University Dr, Jackson, TN 38305 Phone: 731-256-0035
Anna K Younger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301
Kirsten Siler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27a Medical Center Drive, Jackson, TN 38301 Phone: 731-541-3310
Stephanie Pool, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 Fax: 844-374-0233
Kimberlie A Simpson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Independence Ln, Jackson, TN 38305 Phone: 731-617-1483

Mrs Enja O Holland, ACNP - Medicare Nurse Practitioner in Jackson, TN