Kirk S Holston, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" physician in Indianapolis, Indiana. He went to William M. Scholl College Of Podiatric Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice The Health And Hospital Corporation Of Marion County and his current practice location is
3850 Shore Dr, Suite 301, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 297-3338.
Kirk S Holston is licensed to practice in Indiana (license number 070000768A) 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 1760462089.
Physician's Profile
Full Name | Kirk S Holston |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 44 Years |
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Location | 3850 Shore Dr, Indianapolis, Indiana |
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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. |
Medical Education and Training:
- Kirk S Holston attended and graduated from William M. Scholl College Of Podiatric Medicine in 1980
NPI Data:
- NPI Number: 1760462089
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 11/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 0446210009
- Enrollment ID: I20041018000765
Medical Identifiers
Medical identifiers for Kirk S Holston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760462089 | NPI | - | NPPES |
0005497063 | Other | IN | AETNA |
000000364510 | Other | IN | ANTHEM BCBS |
100121880 | Medicaid | IN | |
P00284245 | Other | | RR MCR |
100121880A | Medicaid | IN | |
202158547 | Other | IN | TRICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 05001328A (Indiana) | Secondary |
213E00000X | Podiatrist | 070000768A (Indiana) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 070000768A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Health And Hospital Corporation Of Marion County | 6709795974 | 210 |
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. Kirk S Holston allows following entities to bill medicare on his behalf.
Entity Name | Eskenazi Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730451063 PECOS PAC ID: 4284546813 Enrollment ID: O20031103000440 |
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Entity Name | The Health And Hospital Corporation Of Marion County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104027879 PECOS PAC ID: 6709795974 Enrollment ID: O20041229000426 |
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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. Kirk S Holston 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 |
Kirk S Holston, DPM 10332 Power Dr, Carmel, IN 46033-4759 Ph: (317) 846-0515 | Kirk S Holston, DPM 3850 Shore Dr, Suite 301, Indianapolis, IN 46254-5621 Ph: (317) 297-3338 |
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