Dr Bradford W Holland, MD is a medicare enrolled "Otolaryngology" physician in Gatesville, Texas. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 1997 and has 27 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Coryell County Memorial Hospital Authority and his current practice location is
1507 W Main St, Gatesville, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 865-2166.
Dr Bradford W Holland is licensed to practice in Texas (license number L3681) 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 1790724839.
Physician's Profile
| Full Name | Dr Bradford W Holland |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 27 Years |
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| Location | 1507 W Main St, Gatesville, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bradford W Holland attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1997
NPI Data:
- NPI Number: 1790724839
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870560154
- Enrollment ID: I20100910000598
Medical Identifiers
Medical identifiers for Dr Bradford W Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790724839 | NPI | - | NPPES |
| 150412801 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | L3681 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Coryell County Memorial Hospital Authority | 7719886282 | 29 |
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. Dr Bradford W Holland allows following entities to bill medicare on his behalf.
| Entity Name | Coryell County Memorial Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992832521
PECOS PAC ID: 7719886282
Enrollment ID: O20040202000105 |
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| Entity Name | Providence Health Alliance |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932210838
PECOS PAC ID: 6305731068
Enrollment ID: O20040220000307 |
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| Entity Name | Waco Otolaryngology Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861432171
PECOS PAC ID: 2769459049
Enrollment ID: O20040915000821 |
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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. Dr Bradford W 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 |
|---|
Dr Bradford W Holland, MD
1507 W Main St,
Gatesville, TX 76528-1024
Ph: (254) 865-2166 | Dr Bradford W Holland, MD
1507 W Main St,
Gatesville, TX 76528-1024
Ph: (254) 865-2166 |
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