Travis Holt, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Normal, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Carle West Physician Group Inc and his current practice location is
1300 Franklin Ave Ste 210, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 268-3900.
Travis Holt is licensed to practice in Illinois (license number 036121834) 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 1932320819.
Physician's Profile
Full Name | Travis Holt |
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Gender | Male |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 21 Years |
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Location | 1300 Franklin Ave Ste 210, Normal, Illinois |
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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:
- Travis Holt attended and graduated from Southern Illinois University School Of Medicine in 2003
NPI Data:
- NPI Number: 1932320819
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729155353
- Enrollment ID: I20080924000443
Medical Identifiers
Medical identifiers for Travis Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932320819 | NPI | - | NPPES |
1932320819 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 125-046054 (Illinois) | Secondary |
208C00000X | Colon & Rectal Surgery | 036121834 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Carle West Physician Group Inc | 8921420308 | 283 |
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. Travis Holt allows following entities to bill medicare on his behalf.
Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
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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. Travis Holt 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 |
Travis Holt, MD 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Travis Holt, MD 1300 Franklin Ave Ste 210, Normal, IL 61761-3588 Ph: (309) 268-3900 |
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