Mrs Jennifer Leann Holly, NP in Jackson, MS - Medicare Nurse Practitioner

Mrs Jennifer Leann Holly, NP is a medicare enrolled "Nurse Practitioner" in Jackson, Mississippi. Her current practice location is 2969 Curran Dr N Ste 200, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 974-5600.

Mrs Jennifer Leann Holly is licensed to practice in Mississippi (license number 904726) 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 1639740509.

Contact Information

	Mrs Jennifer Leann Holly, NP
	2969 Curran Dr N Ste 200, Jackson, MS 39216-4121
	(601) 974-5600
	(601) 974-5699

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Leann Holly
Gender	Female
Speciality	Nurse Practitioner
Location	2969 Curran Dr N Ste 200, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639740509
Provider Enumeration Date: 07/01/2021
Last Update Date: 09/16/2021

Medicare PECOS Information:

PECOS PAC ID: 9032516927
Enrollment ID: I20210920002069

Medical Identifiers

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

Identifier	Type	State	Issuer
1639740509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	904726 (Mississippi)	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 Jennifer Leann Holly allows following entities to bill medicare on her behalf.

Entity Name	Jackson Oncology Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295776136 PECOS PAC ID: 2860392735 Enrollment ID: O20040109000050

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 Jennifer Leann Holly 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 Jennifer Leann Holly, NP 1227 N State St, Ste 101, Jackson, MS 39202-2002 Ph: (601) 355-2485	Mrs Jennifer Leann Holly, NP 2969 Curran Dr N Ste 200, Jackson, MS 39216-4121 Ph: (601) 974-5600

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Mrs Jennifer Leann Holly, NP - Medicare Nurse Practitioner in Jackson, MS