Dr Jeffrey Wayne Holt, MD is a medicare enrolled "Internal Medicine" physician in Des Arc, Arkansas. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1997 and has 28 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Wk Pierremont Cardiology and his current practice location is
1503 Main St, Des Arc, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 256-4178.
Dr Jeffrey Wayne Holt is licensed to practice in Arkansas (license number E-13027) 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 1861402778.
Physician's Profile
| Full Name | Dr Jeffrey Wayne Holt |
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| Gender | Male |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 28 Years |
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| Location | 1503 Main St, Des Arc, Arkansas |
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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 Jeffrey Wayne Holt attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1997
NPI Data:
- NPI Number: 1861402778
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 06/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557312212
- Enrollment ID: I20050210000113
Medical Identifiers
Medical identifiers for Dr Jeffrey Wayne Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861402778 | NPI | - | NPPES |
| 204499001 | Medicaid | AR | |
| P00755804 | Other | LA | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | E13027 (Arkansas) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD.12690R (Louisiana) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | E-13027 (Arkansas) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | MD.12690R (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | E-13027 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wk Pierremont Cardiology | 0547571499 | 21 |
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 Jeffrey Wayne Holt allows following entities to bill medicare on his behalf.
| Entity Name | Wk Pierremont Cardiology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235523002
PECOS PAC ID: 0547571499
Enrollment ID: O20150618000783 |
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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 Jeffrey Wayne 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 Jeffrey Wayne Holt, MD
Po Box 497,
Augusta, AR 72006-0497
Ph: (870) 347-2534 | Dr Jeffrey Wayne Holt, MD
1503 Main St,
Des Arc, AR 72040-3299
Ph: (870) 256-4178 |
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