Dwight Tyler Holt, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fieldale, Virginia. His current practice location is
1984 Dillons Fork Rd, Fieldale, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 229-5685.
Dwight Tyler Holt is licensed to practice in Virginia (license number 0024169113) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295986115.
Provider's Profile
| Full Name | Dwight Tyler Holt |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1984 Dillons Fork Rd, Fieldale, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295986115
- Provider Enumeration Date: 10/09/2008
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062563125
- Enrollment ID: I20110419000443
Medical Identifiers
Medical identifiers for Dwight Tyler Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295986115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 0024169113 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024169113 (Virginia) | Primary |
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. Dwight Tyler Holt allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Coverage Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053351593
PECOS PAC ID: 8820983430
Enrollment ID: O20061003000679 |
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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. Dwight Tyler 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 |
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Dwight Tyler Holt, FNP-BC
3416 Virginia Ave Ste 2,
Collinsville, VA 24078-2240
Ph: (276) 229-5685 | Dwight Tyler Holt, FNP-BC
1984 Dillons Fork Rd,
Fieldale, VA 24089-3129
Ph: (276) 229-5685 |
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