Mrs Holly Allen, AGACNP-BC in Canton, GA - Medicare Nurse Practitioner

Mrs Holly Allen, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Canton, Georgia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Surgical Professional Services Llc and her current practice location is 460 Northside Cherokee Blvd Ste 100, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 292-3490.

Mrs Holly Allen is licensed to practice in Georgia (license number RN226149) 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 1003388679.

Contact Information

	Mrs Holly Allen, AGACNP-BC
	460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017
	(770) 292-3490
	(770) 721-5615

Map and Direction

Provider's Profile

Full Name	Mrs Holly Allen
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	460 Northside Cherokee Blvd Ste 100, Canton, Georgia
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 Holly Allen graduated from nursing school in 2018

NPI Data:

NPI Number: 1003388679
Provider Enumeration Date: 12/20/2018
Last Update Date: 12/20/2019

Medicare PECOS Information:

PECOS PAC ID: 3072940121
Enrollment ID: I20200302000767

Medical Identifiers

Medical identifiers for Mrs Holly Allen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003388679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN226149 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital Forsyth	Cumming, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northside Surgical Professional Services Llc	8628253424	272

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 Holly Allen allows following entities to bill medicare on her behalf.

Entity Name	Northside Surgical Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598

Entity Name	Hartley Health And Wellness Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033514302 PECOS PAC ID: 6305162165 Enrollment ID: O20150313001264

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 Holly Allen 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 Holly Allen, AGACNP-BC 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 Ph: (770) 292-3490	Mrs Holly Allen, AGACNP-BC 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 Ph: (770) 292-3490

Reviews and Comments

Nurse Practitioner Nurses in Canton, GA

Maureen Gicharu, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610
Dr. Julia Mcclellan Thorne, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 427 Old Orange Mill Rd, Canton, GA 30115 Phone: 678-824-5466 Fax: 888-299-4377
Mrs. Amy Marie Wheeler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Prominence Point Pkwy, Suite 104, Canton, GA 30114 Phone: 770-704-6988 Fax: 770-720-8775
Mrs. Gracelyn Ambrister Deneus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3755 Sixes Rd, Canton, GA 30114 Phone: 404-395-0890 Fax: 470-299-9936
Mr. William Cole, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610
Kelly Marie Shirley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 Phone: 770-224-1400

Mrs Holly Allen, AGACNP-BC - Medicare Nurse Practitioner in Canton, GA