Everett Dean Holley, MD in Tyler, TX - Medicare Emergency Medicine

Everett Dean Holley, MD is a medicare enrolled "Emergency Medicine" physician in Tyler, Texas. His current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 531-4262.

Everett Dean Holley is licensed to practice in Texas (license number L6065) 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 1073547782.

Contact Information

	Everett Dean Holley, MD
	800 E Dawson St, Tyler, TX 75701-2036
	(903) 531-4262
	Not Available

Map and Direction

Physician's Profile

Full Name	Everett Dean Holley
Gender	Male
Speciality	Emergency Medicine
Location	800 E Dawson St, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073547782
Provider Enumeration Date: 07/10/2006
Last Update Date: 11/06/2020

Medicare PECOS Information:

PECOS PAC ID: 7012905979
Enrollment ID: I20040501000126

Medical Identifiers

Medical identifiers for Everett Dean Holley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073547782	NPI	-	NPPES
158367610	Medicaid	TX
75-2616977-002	Other	TX	TRICARE
8DU752	Other	TX	BCBS
P01304462	Other	TX	RAIL ROAD
158367611	Medicaid	TX
751976930005	Other	TX	TRICARE
P00662854	Other	TX	RAIL ROAD
158367613	Medicaid	TX
P00792073	Other	TX	RAIL ROAD
158367612	Medicaid	TX
75-2616977-01	Other	TX	TRICARE
75-2616977-028	Other	TX	TRICARE
75-0818167-048	Other	TX	TRICARE
TIN PLUS 015	Other	TX	TRICARE
158367614	Medicaid	TX
750818167015	Other	TX	TRICARE
750818167044	Other	TX	TRICARE
75-0818167022	Other	TX	TRICARE
8X8161	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	L6065 (Texas)	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. Everett Dean Holley allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

Entity Name	Northeast Texas Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225

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. Everett Dean Holley 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
Everett Dean Holley, MD Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000	Everett Dean Holley, MD 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 531-4262

Reviews and Comments

Emergency Medicine Doctors in Tyler, TX

James Carr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4262
Dr. Shawn D Pierce, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 833 S Beckham Ave, Tyler, TX 75701 Phone: 903-780-4396
Dr. James Michael Wilson, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Dr. Dallas Wright, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4262 Fax: 903-531-5097
Dr. Jackie Rose, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351 Fax: 903-592-5282
Steven W Cooley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 270 Saddle Creek Dr, Tyler, TX 75703 Phone: 903-574-4341

Everett Dean Holley, MD - Medicare Emergency Medicine in Tyler, TX