Cameron Holicki, DO is a medicare enrolled "Ophthalmology" physician in Angola, Indiana. His current practice location is
1202 N Wayne St, Angola, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 665-5015.
Cameron Holicki is licensed to practice in Indiana (license number 02007865A) 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 1205464229.
Physician's Profile
Full Name | Cameron Holicki |
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Gender | Male |
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Speciality | Ophthalmology |
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Location | 1202 N Wayne St, Angola, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205464229
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284063546
- Enrollment ID: I20210706003603
Medical Identifiers
Medical identifiers for Cameron Holicki such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205464229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 5101027809 (Michigan) | Secondary |
207W00000X | Ophthalmology | 02007865A (Indiana) | Primary |
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. Cameron Holicki 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 |
Cameron Holicki, DO 405 W Grand Ave, Dayton, OH 45405-7538 Ph: (937) 384-6800 | Cameron Holicki, DO 1202 N Wayne St, Angola, IN 46703-2343 Ph: (260) 665-5015 |
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