Ms Mary Ann Holem, FNP-BC in Crystal Lake, IL

Ms Mary Ann Holem, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Crystal Lake, Illinois. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake County Acute Care Llp and her current practice location is 360 Station Dr, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 338-6600.

Ms Mary Ann Holem is licensed to practice in Illinois (license number 209008856) 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 1972897791.

Contact Information

	Ms Mary Ann Holem, FNP-BC
	360 Station Dr, Crystal Lake, IL 60014
	(815) 338-6600
	(815) 455-8044

Map and Direction

Provider's Profile

Full Name	Ms Mary Ann Holem
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	360 Station Dr, Crystal Lake, Illinois
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:

Ms Mary Ann Holem graduated from nursing school in 2009

NPI Data:

NPI Number: 1972897791
Provider Enumeration Date: 06/09/2011
Last Update Date: 10/19/2018

Medicare PECOS Information:

PECOS PAC ID: 6608034806
Enrollment ID: I20120220000445

Medical Identifiers

Medical identifiers for Ms Mary Ann Holem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972897791	NPI	-	NPPES
209008856	Other	IL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209008856 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209008856 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Condell Medical Center	Libertyville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake County Acute Care Llp	5395747281	16

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 Mary Ann Holem allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Patient First Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548258072 PECOS PAC ID: 3274446596 Enrollment ID: O20031111000788

Entity Name	Lake County Acute Care Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861599052 PECOS PAC ID: 5395747281 Enrollment ID: O20070206000313

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 Mary Ann Holem 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 Mary Ann Holem, FNP-BC 360 Station Dr, Crystal Lake, IL 60014-7978 Ph: (815) 338-6600	Ms Mary Ann Holem, FNP-BC 360 Station Dr, Crystal Lake, IL 60014 Ph: (815) 338-6600

Reviews and Comments

Nurse Practitioner Nurses in Crystal Lake, IL

Sandra Jaeschke, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-455-8044
Mrs. Jenna T Winsko, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Suite 120, Crystal Lake, IL 60014 Phone: 815-477-8900 Fax: 815-477-7160
Mrs. Shannon Harrison Malone, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 442 N Illinois Rte 31, Crystal Lake, IL 60012 Phone: 224-238-3211
Katherine A Galias, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014 Phone: 815-459-6655 Fax: 847-658-9922
Ashley Wallen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Northwest Hwy, Crystal Lake, IL 60014 Phone: 866-825-3227
Jessica Barrera, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 S Route 31, Crystal Lake, IL 60014 Phone: 779-220-5500
Erin Williams, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1305 Randall Rd, Crystal Lake, IL 60014 Phone: 815-356-0386

Ms Mary Ann Holem, FNP-BC - Medicare Nurse Practitioner in Crystal Lake, IL