Rebecca Anne Holloman, NP in Lebanon, IN - Medicare Nurse Practitioner

Rebecca Anne Holloman, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Lebanon, Indiana. Her current practice location is 2705 N Lebanon St Ste 150, Lebanon, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 485-8880.

Rebecca Anne Holloman is licensed to practice in Indiana (license number 28169233A) 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 1205679008.

Contact Information

	Rebecca Anne Holloman, NP
	2705 N Lebanon St Ste 150, Lebanon, IN 46052-8629
	(765) 485-8880
	(765) 485-8889

Map and Direction

Provider's Profile

Full Name	Rebecca Anne Holloman
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2705 N Lebanon St Ste 150, Lebanon, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205679008
Provider Enumeration Date: 06/18/2024
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 0143769349
Enrollment ID: I20240903000675

Medical Identifiers

Medical identifiers for Rebecca Anne Holloman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205679008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	28169233A (Indiana)	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. Rebecca Anne Holloman allows following entities to bill medicare on her behalf.

Entity Name	Witham Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083750293 PECOS PAC ID: 4082523170 Enrollment ID: O20040519001402

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. Rebecca Anne Holloman 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
Rebecca Anne Holloman, NP 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: () -	Rebecca Anne Holloman, NP 2705 N Lebanon St Ste 150, Lebanon, IN 46052-8629 Ph: (765) 485-8880

Reviews and Comments

Nurse Practitioner Nurses in Lebanon, IN

Lisa J Frye, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 866-389-2727
Sara Elizabeth Brainerd, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1310 Lebanon Street, Lebanon, IN 46052 Phone: 765-482-7005 Fax: 765-483-2517
Mrs. Nora Camille Wilcox, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 866-389-2727
Mrs. Staci Jeanne Sides, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127
Allison Rae Shrack, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127
Mr. Mitchell Lee Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000
Jennifer Holladay, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 765-482-3630

Rebecca Anne Holloman, NP - Medicare Nurse Practitioner in Lebanon, IN