Jody Dale Holler, MD in Waxhaw, NC - Medicare Family Practice

Jody Dale Holler, MD is a medicare enrolled "Family Medicine" physician in Waxhaw, North Carolina. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Carolinas Physicians Network Inc and his current practice location is 2700 S Providence Rd, Ste 300, Waxhaw, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 243-2254.

Jody Dale Holler is licensed to practice in North Carolina (license number 200200918) 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 1114928611.

Contact Information

	Jody Dale Holler, MD
	2700 S Providence Rd, Ste 300, Waxhaw, NC 28173-6313
	(704) 243-2254
	Not Available

Map and Direction

Physician's Profile

Full Name	Jody Dale Holler
Gender	Male
Speciality	Family Practice
Experience	25 Years
Location	2700 S Providence Rd, Waxhaw, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jody Dale Holler graduated from medical school in 1999

NPI Data:

NPI Number: 1114928611
Provider Enumeration Date: 08/09/2005
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 7113950734
Enrollment ID: I20050914000972

Medical Identifiers

Medical identifiers for Jody Dale Holler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114928611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	200200918 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Charlotte, NC	Home health agency
Atrium Health At Home	Monroe, NC	Home health agency
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital
Atrium Health Union	Monroe, NC	Hospital
Atrium Health Anson	Wadesboro, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolinas Physicians Network Inc	3375449655	1649

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. Jody Dale Holler allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819

Entity Name	Eastland Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467481127 PECOS PAC ID: 6305852591 Enrollment ID: O20060224000538

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. Jody Dale Holler 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
Jody Dale Holler, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Jody Dale Holler, MD 2700 S Providence Rd, Ste 300, Waxhaw, NC 28173-6313 Ph: (704) 243-2254

Reviews and Comments

Family Medicine Doctors in Waxhaw, NC

Dr. David Alan Croland, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 216 West North Main Street, Waxhaw, NC 28173 Phone: 704-243-7106
Dr. Thao Phuong Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3614 S Providence Rd Ste 200, Waxhaw, NC 28173 Phone: 704-384-8640 Fax: 704-384-8650
Kavita Shanker-patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3614 Providence Rd S Ste 200, Waxhaw, NC 28173 Phone: 704-384-8640 Fax: 704-384-8650
Howard M Guthmann Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3614 Providence Rd S Ste 200, Waxhaw, NC 28173 Phone: 704-384-8640 Fax: 704-384-8650
Dr. David Perry Smith, MD, FAAFP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3614 Providence Rd S Ste 200, Waxhaw, NC 28173 Phone: 704-384-8640
Matthew Millikan Verrill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 S Providence Rd, Ste 300, Waxhaw, NC 28173 Phone: 704-243-2254

Jody Dale Holler, MD - Medicare Family Practice in Waxhaw, NC