John Andrew Holland, DDS in Portland, OR - Medicare Dentist Provider

John Andrew Holland, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Portland, Oregon. His current practice location is 10102 Ne Glisan St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 257-5959.

John Andrew Holland is licensed to practice in Oregon (license number D7112) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972618346.

Contact Information

	John Andrew Holland, DDS
	10102 Ne Glisan St, Portland, OR 97220-4456
	(503) 257-5959
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	John Andrew Holland
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	10102 Ne Glisan St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972618346
Provider Enumeration Date: 08/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8224223391
Enrollment ID: I20101115000897

Medical Identifiers

Medical identifiers for John Andrew Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972618346	NPI	-	NPPES
1223S0112X	Other	OR	ORAL SURGERY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D7112 (Oregon)	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. John Andrew Holland allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. John Andrew Holland 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
John Andrew Holland, DDS 2092 Northtree Dr Ne, Keizer, OR 97303-1974 Ph: (503) 393-6814	John Andrew Holland, DDS 10102 Ne Glisan St, Portland, OR 97220-4456 Ph: (503) 257-5959

Reviews and Comments

Dentist in Portland, OR

Esther Jihae Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5308 Se 52nd Ave, Portland, OR 97206 Phone: 503-775-4000
Dr. Elizabeth Freda Schuler, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 Ne 181st Ave Ste C, Portland, OR 97230 Phone: 503-912-0443
Dr. Octavia S Lively, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Vetrn Hosp Rd, Portland, OR 97239 Phone: 503-220-8262
Michelle R Lawrence, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3671 Sw River Pkwy, Portland, OR 97239 Phone: 503-841-5658 Fax: 503-384-2953
Albert Vinh Khiem Ngo, Dentist Medicare: Medicare Enrolled Practice Location: 4104 Se 82nd Ave Ste 450, Portland, OR 97266 Phone: 562-852-3113
Dr. Esha Mukherjee, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2730 S Moody Ave, Portland, OR 97201 Phone: 502-531-3763
Dr. Larry Robert Franz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12135 Se Foster Rd, Portland, OR 97266 Phone: 503-760-7610 Fax: 503-760-7896

John Andrew Holland, DDS - Medicare Dentist in Portland, OR