Ms Jennifer Holloway, CRNP in Philadelphia, PA

Ms Jennifer Holloway, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 909 Walnut St Fl 3, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 955-7000.

Ms Jennifer Holloway is licensed to practice in Pennsylvania (license number SP010727) 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 1447564471.

Contact Information

	Ms Jennifer Holloway, CRNP
	909 Walnut St Fl 3, Philadelphia, PA 19107-5211
	(215) 955-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jennifer Holloway
Gender	Female
Speciality	Nurse Practitioner - Family
Location	909 Walnut St Fl 3, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447564471
Provider Enumeration Date: 08/02/2010
Last Update Date: 12/17/2012

Medicare PECOS Information:

PECOS PAC ID: 0749452373
Enrollment ID: I20180924000906

Medical Identifiers

Medical identifiers for Ms Jennifer Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447564471	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN553234 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	SP010727 (Pennsylvania)	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 Jennifer Holloway allows following entities to bill medicare on her behalf.

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

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 Jennifer Holloway 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 Jennifer Holloway, CRNP 240 Fir Tree Ct, Marlton, NJ 08053-2010 Ph: (856) 313-1105	Ms Jennifer Holloway, CRNP 909 Walnut St Fl 3, Philadelphia, PA 19107-5211 Ph: (215) 955-7000

Reviews and Comments

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Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Ms Jennifer Holloway, CRNP - Medicare Nurse Practitioner in Philadelphia, PA