Kenneth L Holder, MD in Jonesboro, AR - Medicare Family Medicine

Kenneth L Holder, MD is a medicare enrolled "Family Medicine" physician in Jonesboro, Arkansas. His current practice location is 264 Southwest Dr, Jonesboro, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 336-2976.

Kenneth L Holder is licensed to practice in Arkansas (license number E-7966) 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 1477659464.

Contact Information

	Kenneth L Holder, MD
	264 Southwest Dr, Jonesboro, AR 72401-5829
	(870) 336-2976
	(870) 931-0665

Map and Direction

Physician's Profile

Full Name	Kenneth L Holder
Gender	Male
Speciality	Family Medicine
Location	264 Southwest Dr, Jonesboro, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477659464
Provider Enumeration Date: 09/16/2006
Last Update Date: 07/27/2021

Medicare PECOS Information:

PECOS PAC ID: 3072655935
Enrollment ID: I20130816000315

Medical Identifiers

Medical identifiers for Kenneth L Holder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477659464	NPI	-	NPPES
64320625	Medicaid	KY
32062	Other	KY	LICENSE
E-7966	Other	AR	LICENSE
000000044326	Other		BCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	E-7966 (Arkansas)	Secondary
207Q00000X	Family Medicine	E-7966 (Arkansas)	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. Kenneth L Holder allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365

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. Kenneth L 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
Kenneth L Holder, MD 264 Southwest Dr, Jonesboro, AR 72401-5829 Ph: (870) 336-2976	Kenneth L Holder, MD 264 Southwest Dr, Jonesboro, AR 72401-5829 Ph: (870) 336-2976

Reviews and Comments

Family Medicine Doctors in Jonesboro, AR

Joe H Stallings Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-972-0063 Fax: 870-930-2931
Elaine A Gillespie, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-972-0063 Fax: 870-930-2914
Dr. Larry Herbert Lawrence, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3818 Friendly Hope Rd, Jonesboro, AR 72404 Phone: 870-910-5290 Fax: 870-910-5290
Dr. Terry J Kosinski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Stadium Blvd, Jonesboro, AR 72401 Phone: 870-932-3339 Fax: 870-933-1824
Dr. Stephen C Golden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Stadium Blvd, Jonesboro, AR 72401 Phone: 870-932-3339 Fax: 870-933-1824
Douglas Maglothin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Windover Rd, Jonesboro, AR 72401 Phone: 870-935-5432 Fax: 870-935-4887
Mai Snow, LCSW, DCSW Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 223 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-972-0063 Fax: 870-930-2931

Kenneth L Holder, MD - Medicare Family Medicine in Jonesboro, AR