Angelina Dawn Holt, PA-C in Jacksonville, FL - Medicare Physician Assistant

Angelina Dawn Holt, PA-C is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cardiothoracic And Vascular Surgical Associates Pa and her current practice location is 1824 King St Ste 200, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 384-3343.

Angelina Dawn Holt is licensed to practice in Florida (license number PA9116010) 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 1487921409.

Contact Information

	Angelina Dawn Holt, PA-C
	1824 King St Ste 200, Jacksonville, FL 32204-4736
	(904) 384-3343
	(904) 400-6671

Map and Direction

Provider's Profile

Full Name	Angelina Dawn Holt
Gender	Female
Speciality	Physician Assistant
Experience	13 Years
Location	1824 King St Ste 200, Jacksonville, Florida
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:

Angelina Dawn Holt graduated from nursing school in 2011

NPI Data:

NPI Number: 1487921409
Provider Enumeration Date: 11/18/2011
Last Update Date: 11/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0941476204
Enrollment ID: I20220711001779

Medical Identifiers

Medical identifiers for Angelina Dawn Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487921409	NPI	-	NPPES
P00994128	Other	GA	RAILROAD MEDICARE
003118596A	Medicaid	GA
01477593	Other		AMERIGROUP
1319PA	Medicaid	SC
643345	Other	GA	WELLCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	006317 (Georgia)	Secondary
363A00000X	Physician Assistant	0110005126 (Virginia)	Secondary
363A00000X	Physician Assistant	PA12050 (Texas)	Secondary
363A00000X	Physician Assistant	4254 (Connecticut)	Secondary
363A00000X	Physician Assistant	PA9116010 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent's Riverside	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cardiothoracic And Vascular Surgical Associates Pa	5395725188	83

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. Angelina Dawn 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
Angelina Dawn Holt, PA-C 1824 King St Ste 200, Jacksonville, FL 32204-4736 Ph: (904) 384-3343	Angelina Dawn Holt, PA-C 1824 King St Ste 200, Jacksonville, FL 32204-4736 Ph: (904) 384-3343

Reviews and Comments

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Samantha Steele, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12398 Wavyleaf Ct, Jacksonville, FL 32225 Phone: 443-758-3656

Angelina Dawn Holt, PA-C - Medicare Physician Assistant in Jacksonville, FL