Ms Charlotte Marie Holleran, RN is a medicare enrolled "Surgery - Surgical Critical Care" in Medford, Massachusetts. Her current practice location is
611 Fellsway W, Medford, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 498-8221.
Ms Charlotte Marie Holleran is licensed to practice in Massachusetts (license number RN277786) 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 1821683780.
Provider's Profile
Full Name | Ms Charlotte Marie Holleran |
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Gender | Female |
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Speciality | Surgery - Surgical Critical Care |
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Location | 611 Fellsway W, Medford, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821683780
- Provider Enumeration Date: 03/03/2021
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163803198
- Enrollment ID: I20220721001530
Medical Identifiers
Medical identifiers for Ms Charlotte Marie Holleran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821683780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | RN277786 (Massachusetts) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | RN277786 (Massachusetts) | 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. Ms Charlotte Marie Holleran allows following entities to bill medicare on her behalf.
Entity Name | Middleton Family Medicine Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902215106 PECOS PAC ID: 0042533218 Enrollment ID: O20141218001562 |
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Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
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Entity Name | New England House Calls Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659066686 PECOS PAC ID: 2567825623 Enrollment ID: O20230823001363 |
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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. Ms Charlotte Marie Holleran 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 |
Ms Charlotte Marie Holleran, RN 611 Fellsway W, Medford, MA 02155-1849 Ph: (781) 498-8221 | Ms Charlotte Marie Holleran, RN 611 Fellsway W, Medford, MA 02155-1849 Ph: (781) 498-8221 |
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