Mr Charles Dale Holland Jr, MD is a medicare enrolled "Otolaryngology" physician in Bartlesville, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice St John Physicians Inc and his current practice location is
205 Se Howard Ave, Bartlesville, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 333-0474.
Mr Charles Dale Holland Jr is licensed to practice in Oklahoma (license number 15492) 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 1144241704.
Physician's Profile
| Full Name | Mr Charles Dale Holland Jr |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 39 Years |
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| Location | 205 Se Howard Ave, Bartlesville, Oklahoma |
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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:
- Mr Charles Dale Holland Jr attended and graduated from University Of Oklahoma College Of Medicine in 1985
NPI Data:
- NPI Number: 1144241704
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 06/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 7214906866
- Enrollment ID: I20040930000459
Medical Identifiers
Medical identifiers for Mr Charles Dale Holland Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144241704 | NPI | - | NPPES |
| 100089920A | Medicaid | OK | |
| 100130650C | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 15492 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St John Physicians Inc | 2567366495 | 221 |
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. Mr Charles Dale Holland Jr allows following entities to bill medicare on his behalf.
| Entity Name | St John Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336194406
PECOS PAC ID: 2567366495
Enrollment ID: O20031121000867 |
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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. Mr Charles Dale Holland Jr 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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Mr Charles Dale Holland Jr, MD
205 Se Howard Ave,
Bartlesville, OK 74006-2204
Ph: (918) 333-0474 | Mr Charles Dale Holland Jr, MD
205 Se Howard Ave,
Bartlesville, OK 74006-2204
Ph: (918) 333-0474 |
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