Mrs Gwyneth Leigh Holderby, DNP - Medicare Nurse Practitioner in Alva, OK

Mrs Gwyneth Leigh Holderby, DNP is a medicare enrolled "Nurse Practitioner - Family" in Alva, Oklahoma. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Alva Hospital Authority, Enhanced Wound Care Llc and her current practice location is 800 Share Dr, Alva, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 327-2800.

Mrs Gwyneth Leigh Holderby is licensed to practice in Oklahoma (license number 96130) 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 1124447305.

Contact Information

Mrs Gwyneth Leigh Holderby, DNP
800 Share Dr,
Alva, OK 73717-3618
(580) 327-2800
Not Available



Provider's Profile

Full NameMrs Gwyneth Leigh Holderby
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location800 Share Dr, Alva, Oklahoma
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 Gwyneth Leigh Holderby graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1124447305
  • Provider Enumeration Date: 04/15/2014
  • Last Update Date: 06/15/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3173745932
  • Enrollment ID: I20141111000368

Medical Identifiers

Medical identifiers for Mrs Gwyneth Leigh Holderby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124447305NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 96130 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Share Medical CenterAlva, OKHospital
St Mary's Regional Medical CenterEnid, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alva Hospital Authority559775530611
Enhanced Wound Care Llc27698770005

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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 Gwyneth Leigh Holderby allows following entities to bill medicare on her behalf.
Entity NameAlva Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679684682
PECOS PAC ID: 5597755306
Enrollment ID: O20040514000014

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Entity NameEnhanced Wound Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306594148
PECOS PAC ID: 2769877000
Enrollment ID: O20220726000190

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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 Gwyneth Leigh Holderby 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 Gwyneth Leigh Holderby, DNP
Rr 1 Box 354,
Byron, OK 73722-9507

Ph: (405) 880-4714
Mrs Gwyneth Leigh Holderby, DNP
800 Share Dr,
Alva, OK 73717-3618

Ph: (580) 327-2800

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Nurse Practitioner Nurses in Alva, OK

Mr. Jeremy D Logsdon, CNP- FAMILY
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 604 Choctaw St, Alva, OK 73717
Phone: 580-327-1118    Fax: 580-327-3067
Bryan Nutter, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 800 Share Dr, Alva, OK 73717
Phone: 580-327-2800    

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