James A Holb, RD,LD,CDE in Fort Wayne, IN - Medicare Dietitian, Registered Provider

James A Holb, RD,LD,CDE is a medicare enrolled "Dietitian, Registered - Nutrition, Renal" provider in Fort Wayne, Indiana. His current practice location is 4210 Flagstaff Cv, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 489-9009.

James A Holb is licensed to practice in Ohio (license number LD840) 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 1740217819.

Contact Information

	James A Holb, RD,LD,CDE
	4210 Flagstaff Cv, Fort Wayne, IN 46815-4417
	(260) 489-9009
	(260) 489-5057

Map and Direction

Healthcare Provider's Profile

Full Name	James A Holb
Gender	Male
Speciality	Dietitian, Registered - Nutrition, Renal
Location	4210 Flagstaff Cv, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740217819
Provider Enumeration Date: 06/26/2006
Last Update Date: 03/09/2023

Medicare PECOS Information:

PECOS PAC ID: 9234025859
Enrollment ID: I20040224000767

Medical Identifiers

Medical identifiers for James A Holb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740217819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1005X	Dietitian, Registered - Nutrition, Renal	LD840 (Ohio)	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. James A Holb allows following entities to bill medicare on his behalf.

Provider Name	Community Living Resources Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780065425 PECOS PAC ID: 8022310036 Enrollment ID: O20160107002878

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. James A Holb 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
James A Holb, RD,LD,CDE 4210 Flagstaff Cv, Fort Wayne, IN 46815-4417 Ph: (260) 489-9009	James A Holb, RD,LD,CDE 4210 Flagstaff Cv, Fort Wayne, IN 46815-4417 Ph: (260) 489-9009

Reviews and Comments

Dietitian, Registered in Fort Wayne, IN

Mrs. Alyce S Yoder, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11104 Parkview Circle Dr, Suite 330, Fort Wayne, IN 46845 Phone: 888-543-6397
Maria Krach, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2515 Mill Pond Ct., Fort Wayne, IN 46804 Phone: 260-436-1312 Fax: 260-436-1312
Laverne A Sullivan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057
Mrs. Katherine R Capen, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057
Shawn L Quinn, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8028 Carnegie Blvd, Suite 250, Fort Wayne, IN 46804 Phone: 260-373-7872 Fax: 260-755-6233
Bonnie L. Gunckel, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057
Tiane Bianski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6322 Farmswood Drive Apt 1b, Fort Wayne, IN 46804 Phone: 260-385-4123

James A Holb, RD,LD,CDE - Medicare Dietitian in Fort Wayne, IN