David M Holland, MD in Louisville, KY - Medicare General Practice

David M Holland, MD is a medicare enrolled "General Practice" physician in Louisville, Kentucky. His current practice location is 2355 Poplar Level Rd, Ste. 200-a, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 636-7444.

David M Holland is licensed to practice in Kentucky (license number 16256) 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 1265498992.

Contact Information

	David M Holland, MD
	2355 Poplar Level Rd, Ste. 200-a, Louisville, KY 40217-1395
	(502) 636-7444
	(502) 636-7340

Map and Direction

Physician's Profile

Full Name	David M Holland
Gender	Male
Speciality	General Practice
Location	2355 Poplar Level Rd, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265498992
Provider Enumeration Date: 04/21/2006
Last Update Date: 07/12/2016

Medicare PECOS Information:

PECOS PAC ID: 3173572435
Enrollment ID: I20050113000936

Medical Identifiers

Medical identifiers for David M Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265498992	NPI	-	NPPES
000000350759	Other	KY	ANTHEM / NCMA
047927	Other	KY	SIHO ./ NCMA
2446878000	Other	KY	PASSPORT ADVANTAGE / NCMA
2542519	Other	KY	CIGNA / NCMA
64162563	Medicaid	KY
200510840	Medicaid	IN
50005575	Other	KY	PASSPORT / NCMA
0000284121	Other	KY	HUMANA / NCMA
P00181534	Other	KY	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	16256 (Kentucky)	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. David M Holland allows following entities to bill medicare on his behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656

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. David M 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
David M Holland, MD Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490	David M Holland, MD 2355 Poplar Level Rd, Ste. 200-a, Louisville, KY 40217-1395 Ph: (502) 636-7444

Reviews and Comments

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David M Holland, MD - Medicare General Practice in Louisville, KY