Sierra Elaine Holiman, APRN is a medicare enrolled "Nurse Practitioner - Family" in New Madrid, Missouri. Her current practice location is
800 Us Hwy 61, New Madrid, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 624-5566.
Sierra Elaine Holiman is licensed to practice in Missouri (license number 2019008660) 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 1558924845.
Provider's Profile
| Full Name | Sierra Elaine Holiman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 800 Us Hwy 61, New Madrid, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558924845
- Provider Enumeration Date: 04/22/2019
- Last Update Date: 04/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 0042544074
- Enrollment ID: I20190625004057
Medical Identifiers
Medical identifiers for Sierra Elaine Holiman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558924845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2019008660 (Missouri) | 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. Sierra Elaine Holiman allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Health Center Of Stoddard County Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477997567
PECOS PAC ID: 7315192515
Enrollment ID: O20130605000128 |
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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. Sierra Elaine Holiman 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 |
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Sierra Elaine Holiman, APRN
1200 N One Mile Rd,
Dexter, MO 63841-1000
Ph: () - | Sierra Elaine Holiman, APRN
800 Us Hwy 61,
New Madrid, MO 63869
Ph: (573) 624-5566 |
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