Raven Jeanine Holland, MD in Fort Worth, TX

Raven Jeanine Holland, MD is a medicare enrolled "Family Medicine" physician in Fort Worth, Texas. She went to Southern Illinois University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mount Sinai Community Foundation and her current practice location is 5701 Bryant Irvin Rd Ste 201, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 263-2500.

Raven Jeanine Holland is licensed to practice in Texas (license number Q9823) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184061665.

Contact Information

	Raven Jeanine Holland, MD
	5701 Bryant Irvin Rd Ste 201, Fort Worth, TX 76132-4026
	(817) 263-2500
	(817) 346-4006

Map and Direction

Physician's Profile

Full Name	Raven Jeanine Holland
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	5701 Bryant Irvin Rd Ste 201, Fort Worth, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Raven Jeanine Holland attended and graduated from Southern Illinois University School Of Medicine in 2013

NPI Data:

NPI Number: 1184061665
Provider Enumeration Date: 05/24/2013
Last Update Date: 07/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1052539129
Enrollment ID: I20240430001783

Medical Identifiers

Medical identifiers for Raven Jeanine Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184061665	NPI	-	NPPES
Q9823	Other	TX	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	Q9823 (Texas)	Primary
207Q00000X	Family Medicine	036138911 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mt Sinai Hospital Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mount Sinai Community Foundation	5991600405	207

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. Raven Jeanine Holland allows following entities to bill medicare on her behalf.

Entity Name	Mount Sinai Community Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032

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. Raven Jeanine Holland 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
Raven Jeanine Holland, MD 5701 Bryant Irvin Rd Ste 201, Fort Worth, TX 76132-4026 Ph: (817) 263-2500	Raven Jeanine Holland, MD 5701 Bryant Irvin Rd Ste 201, Fort Worth, TX 76132-4026 Ph: (817) 263-2500

Reviews and Comments

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Raven Jeanine Holland, MD - Medicare Family Practice in Fort Worth, TX