Mrs Kelly Holt, NP in Springboro, OH - Medicare Nurse Practitioner

Mrs Kelly Holt, NP is a medicare enrolled "Nurse Practitioner" in Springboro, Ohio. Her current practice location is 70 Remick Blvd, Springboro, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 885-0701.

Mrs Kelly Holt is licensed to practice in Ohio (license number 05201) 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 1497147102.

Contact Information

	Mrs Kelly Holt, NP
	70 Remick Blvd, Springboro, OH 45066-9168
	(937) 885-0701
	(937) 885-0702

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Holt
Gender	Female
Speciality	Nurse Practitioner
Location	70 Remick Blvd, Springboro, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497147102
Provider Enumeration Date: 03/04/2015
Last Update Date: 08/07/2015

Medicare PECOS Information:

PECOS PAC ID: 6305158759
Enrollment ID: I20191017002338

Medical Identifiers

Medical identifiers for Mrs Kelly Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497147102	NPI	-	NPPES
0129420	Medicaid	OH
000000932845	Other	OH	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	05201 (Ohio)	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 Kelly Holt allows following entities to bill medicare on her behalf.

Entity Name	Virginia Internal Medicine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740525245 PECOS PAC ID: 4082869250 Enrollment ID: O20130220000224

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 Kelly Holt 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 Kelly Holt, NP 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 Ph: (937) 297-8999	Mrs Kelly Holt, NP 70 Remick Blvd, Springboro, OH 45066-9168 Ph: (937) 885-0701

Reviews and Comments

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Mrs Kelly Holt, NP - Medicare Nurse Practitioner in Springboro, OH