Dr Ira Hawkins Holt, MD is a medicare enrolled "Internal Medicine" physician in Vance, Alabama. His current practice location is
18704 Highway 11 N, Vance, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 481-8510.
Dr Ira Hawkins Holt is licensed to practice in Alabama (license number 00003739) 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 1881791358.
Physician's Profile
| Full Name | Dr Ira Hawkins Holt |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 18704 Highway 11 N, Vance, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881791358
- Provider Enumeration Date: 09/19/2006
- Last Update Date: 11/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 4789683038
- Enrollment ID: I20061213000627
Medical Identifiers
Medical identifiers for Dr Ira Hawkins Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881791358 | NPI | - | NPPES |
| 051004951 | Other | AL | BLUE CROSS |
| 009941419 | Medicaid | AL | |
| C71700 | Other | AL | VIVA HEALTH |
| 0410640 | Other | AL | MEDICARE COMPLETE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 00003739 (Alabama) | 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. Dr Ira Hawkins Holt allows following entities to bill medicare on his behalf.
| Entity Name | Medical West Hospital Authority, An Affiliate Of Uab Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952483729
PECOS PAC ID: 6406865427
Enrollment ID: O20061204000666 |
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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 Ira Hawkins Holt 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 Ira Hawkins Holt, MD
Po Box 11407,
Birmingham, AL 35246-0777
Ph: (205) 481-7670 | Dr Ira Hawkins Holt, MD
18704 Highway 11 N,
Vance, AL 35490-2434
Ph: (205) 481-8510 |
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