Dr Kevin D Holder, MD is a medicare enrolled "Family Medicine" physician in South Orange, New Jersey. He went to Rutgers New Jersey Medical School and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. His current practice location is
5 Stanley Rd, South Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 762-6077.
Dr Kevin D Holder is licensed to practice in New Jersey (license number 25MA04662500) 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 1063543254.
Physician's Profile
| Full Name | Dr Kevin D Holder |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 41 Years |
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| Location | 5 Stanley Rd, South Orange, New Jersey |
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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 Kevin D Holder attended and graduated from Rutgers New Jersey Medical School in 1983
NPI Data:
- NPI Number: 1063543254
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 03/28/2013
Medicare PECOS Information:
- PECOS PAC ID: 9436062809
- Enrollment ID: I20031111000498
Medical Identifiers
Medical identifiers for Dr Kevin D Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063543254 | NPI | - | NPPES |
| 020614591 | Other | NJ | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 25MA04662500 (New Jersey) | 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 Kevin D Holder allows following entities to bill medicare on his behalf.
| Entity Name | Center For Preventative Medicine Of New Jersey |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083747299
PECOS PAC ID: 7214840602
Enrollment ID: O20031111000583 |
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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 Kevin D Holder 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 |
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Dr Kevin D Holder, MD
5 Stanley Rd,
South Orange, NJ 07079-2721
Ph: (973) 762-6077 | Dr Kevin D Holder, MD
5 Stanley Rd,
South Orange, NJ 07079-2721
Ph: (973) 762-6077 |
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