Benjamin Holler, - Medicare Family Practice in Glenpool, OK

  1. Home
  2. Family Medicine
  3. OK
  4. Glenpool
Benjamin Holler, is a medicare enrolled "Family Medicine" physician in Glenpool, Oklahoma. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeastern Emergency Physicians Llc and his current practice location is 12142 S Yukon Avenue, Glenpool, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 935-3636.

Benjamin Holler is licensed to practice in Oklahoma (license number 38874) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902335698.

Contact Information

Benjamin Holler,
12142 S Yukon Avenue,
Glenpool, OK 74033-6621
(918) 935-3636
(918) 777-9019

Map and Direction




Physician's Profile

Full NameBenjamin Holler
GenderMale
SpecialityFamily Practice
Experience8 Years
Location12142 S Yukon Avenue, Glenpool, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Benjamin Holler attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1902335698
  • Provider Enumeration Date: 06/07/2017
  • Last Update Date: 04/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1658621529
  • Enrollment ID: I20180914000191

Medical Identifiers

Medical identifiers for Benjamin Holler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902335698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 52911 (Kentucky)Secondary
207P00000XEmergency Medicine R4433 (Kentucky)Secondary
207Q00000XFamily Medicine 38874 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Opelousas General Health SystemOpelousas, LAHospital
Baptist Health MadisonvilleMadisonville, KYHospital
Baptist Medical CenterSan antonio, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997516

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. Benjamin Holler allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameApp Of Kentucky Ed, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497157341
PECOS PAC ID: 0749502862
Enrollment ID: O20141201000389
Entity NameRhythm Med Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639830938
PECOS PAC ID: 0042680936
Enrollment ID: O20230331001522

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. Benjamin Holler 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
Benjamin Holler,
12142 S Yukon Avenue,
Glenpool, OK 74033-6621

Ph: (918) 935-3636		Benjamin Holler,
12142 S Yukon Avenue,
Glenpool, OK 74033-6621

Ph: (918) 935-3636

Reviews and Comments


Family Medicine Doctors in Glenpool, OK

Dr. Alexander C Roby, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 140 W 151st St S Ste 202, Glenpool, OK 74033
Phone: 918-321-7400    Fax: 918-321-7415
Sharon K Little, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 140 W 151st St S Ste 202, Glenpool, OK 74033
Phone: 918-321-7400    Fax: 918-321-7415
Dr. Tony A Little, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 140 W 151st St S Ste 202, Glenpool, OK 74033
Phone: 918-321-7400    Fax: 918-321-7415
Emily White, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 140 W 151st St S Ste 202, Glenpool, OK 74033
Phone: 918-321-7400    Fax: 918-321-7415
Dr. Daniel Craig Martin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14226 Elm, Glenpool, OK 74033
Phone: 918-322-9510    
Dr. Michael Steven Ward, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 550 W 121st St S, Glenpool, OK 74033
Phone: 918-291-5200    Fax: 918-291-5929
Dr. Andrea Michele Adams, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 550 W 121st St S, Glenpool, OK 74033
Phone: 918-291-5200    Fax: 918-291-5929

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.