Dr Robert Jon Holme, MD is a medicare enrolled "Ophthalmology" physician in Tifton, Georgia. His current practice location is
1803 Old Ocilla Rd, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 386-2181.
Dr Robert Jon Holme is licensed to practice in Georgia (license number 041140) 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 1336150648.
Physician's Profile
Full Name | Dr Robert Jon Holme |
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Gender | Male |
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Speciality | Ophthalmology |
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Location | 1803 Old Ocilla Rd, Tifton, Georgia |
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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: 1336150648
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 02/04/2008
Medicare PECOS Information:
- PECOS PAC ID: 8729273750
- Enrollment ID: I20101116000355
Medical Identifiers
Medical identifiers for Dr Robert Jon Holme such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336150648 | NPI | - | NPPES |
00700884C | Medicaid | GA | |
0774710001 | Other | GA | CIGNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 041140 (Georgia) | 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 Robert Jon Holme allows following entities to bill medicare on his behalf.
Entity Name | Tift Regional Health System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
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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 Robert Jon Holme 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 Robert Jon Holme, MD 1803 Old Ocilla Rd, Tifton, GA 31794-1617 Ph: (229) 386-2181 | Dr Robert Jon Holme, MD 1803 Old Ocilla Rd, Tifton, GA 31794-1617 Ph: (229) 386-2181 |
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