Thelma Michelle Holt-nicholson, FNP-BC - Medicare Nurse Practitioner in Chicago, IL

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Thelma Michelle Holt-nicholson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. Her current practice location is 1340 S Damen Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (877) 663-1333.

Thelma Michelle Holt-nicholson is licensed to practice in Illinois (license number 209.012271) 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 1265830442.

Contact Information

Thelma Michelle Holt-nicholson, FNP-BC
1340 S Damen Ave,
Chicago, IL 60608-1169
(877) 663-1333
Not Available

Map and Direction




Provider's Profile

Full NameThelma Michelle Holt-nicholson
GenderFemale
SpecialityNurse Practitioner - Family
Location1340 S Damen Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265830442
  • Provider Enumeration Date: 12/20/2014
  • Last Update Date: 06/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5092033613
  • Enrollment ID: I20150410002269

Medical Identifiers

Medical identifiers for Thelma Michelle Holt-nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265830442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.012271 (Illinois)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. Thelma Michelle Holt-nicholson allows following entities to bill medicare on her behalf.
Entity NameHansa Medical Groupe Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386804615
PECOS PAC ID: 5092881417
Enrollment ID: O20080909000726
Entity NameVitae Health Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174013452
PECOS PAC ID: 2365798410
Enrollment ID: O20180703002838
Entity NameEaves Health Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639847551
PECOS PAC ID: 2466844220
Enrollment ID: O20220128000341

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. Thelma Michelle Holt-nicholson 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 AddressPractice Location Address
Thelma Michelle Holt-nicholson, FNP-BC
P O Box 2114,
Matteson, IL 60443

Ph: (877) 663-1333		Thelma Michelle Holt-nicholson, FNP-BC
1340 S Damen Ave,
Chicago, IL 60608-1169

Ph: (877) 663-1333

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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