Dr Brent J Holleran, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Bonita Springs, Florida. His current practice location is
26240 Mira Way, Bonita Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 498-7852.
Dr Brent J Holleran is licensed to practice in Indiana (license number 01028032A) 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 1710148382.
Physician's Profile
Full Name | Dr Brent J Holleran |
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Gender | Male |
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Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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Location | 26240 Mira Way, Bonita Springs, Florida |
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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: 1710148382
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 06/17/2008
Medicare PECOS Information:
- PECOS PAC ID: 0042512659
- Enrollment ID: I20160113000926
Medical Identifiers
Medical identifiers for Dr Brent J Holleran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710148382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01028032A (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. Dr Brent J Holleran 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 Brent J Holleran, MD 26240 Mira Way, Bonita Springs, FL 34134-1637 Ph: (239) 498-7852 | Dr Brent J Holleran, MD 26240 Mira Way, Bonita Springs, FL 34134-1637 Ph: (239) 498-7852 |
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