Mrs Holly Brooke Shourd, FNP - Medicare Nurse Practitioner in Bolivar, TN

Mrs Holly Brooke Shourd, FNP is a medicare enrolled "Family Medicine" physician in Bolivar, Tennessee. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is 1359 W Market St., Bolivar, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 361-1003.

Mrs Holly Brooke Shourd is licensed to practice in Tennessee (license number APN0000025929) 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 1598326233.

Contact Information

Mrs Holly Brooke Shourd, FNP
1359 W Market St.,
Bolivar, TN 38008
(731) 361-1003
Not Available



Physician's Profile

Full NameMrs Holly Brooke Shourd
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1359 W Market St., Bolivar, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Holly Brooke Shourd graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1598326233
  • Provider Enumeration Date: 06/24/2019
  • Last Update Date: 11/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1052649837
  • Enrollment ID: I20190819002315

Medical Identifiers

Medical identifiers for Mrs Holly Brooke Shourd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598326233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine APN0000025929 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Medical Clinic Pllc5395881841510

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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. Mrs Holly Brooke Shourd allows following entities to bill medicare on her behalf.
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112

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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. Mrs Holly Brooke Shourd 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
Mrs Holly Brooke Shourd, FNP
1359 W Market St.,
Bolivar, TN 38008

Ph: (731) 361-1003
Mrs Holly Brooke Shourd, FNP
1359 W Market St.,
Bolivar, TN 38008

Ph: (731) 361-1003

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Family Medicine Doctors in Bolivar, TN

Dr. Robert Wayne Dunavant, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-7111    Fax: 731-658-4328
Dr. John Lee Blankenship, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Dr. Samuel Terry Johnson Jr., M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Lawrence Diaz, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Olufemi E Soyinka, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Dr. Nithyananda Pakkala, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 630 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-6011    Fax: 731-658-9884

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