Mrs Holly D Whitman, CRNP in Birmingham, AL - Medicare Nurse Practitioner

Mrs Holly D Whitman, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Birmingham, Alabama. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Haleyville Medical Associates, Inc. and her current practice location is 619 19th St S, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 975-0512.

Mrs Holly D Whitman is licensed to practice in Alabama (license number 1-099525) 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 1316381825.

Contact Information

	Mrs Holly D Whitman, CRNP
	619 19th St S, Birmingham, AL 35294
	(205) 975-0512
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Holly D Whitman
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	619 19th St S, Birmingham, Alabama
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 D Whitman graduated from nursing school in 2012

NPI Data:

NPI Number: 1316381825
Provider Enumeration Date: 04/26/2013
Last Update Date: 04/26/2013

Medicare PECOS Information:

PECOS PAC ID: 3870842040
Enrollment ID: I20180821002710

Medical Identifiers

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

Identifier	Type	State	Issuer
1316381825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-099525 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeland Community Hospital	Haleyville, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Haleyville Medical Associates, Inc.	6507885985	10

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 D Whitman allows following entities to bill medicare on her behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

Entity Name	Haleyville Medical Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104922368 PECOS PAC ID: 6507885985 Enrollment ID: O20051115000484

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 D Whitman 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 D Whitman, CRNP 2660 Co Rd 3418, Haleyville, AL 35565 Ph: (256) 520-3789	Mrs Holly D Whitman, CRNP 619 19th St S, Birmingham, AL 35294 Ph: (205) 975-0512

Reviews and Comments

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Mrs Holly D Whitman, CRNP - Medicare Nurse Practitioner in Birmingham, AL