Mrs Janice King Holloway, NP is a medicare enrolled "Nurse Practitioner - Family" in Elloree, South Carolina. Her current practice location is
102 Breezewood Ct, Elloree, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 384-4036.
Mrs Janice King Holloway is licensed to practice in South Carolina (license number F958) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811917974.
Provider's Profile
| Full Name | Mrs Janice King Holloway |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 102 Breezewood Ct, Elloree, South Carolina |
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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: 1811917974
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 03/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739251406
- Enrollment ID: I20080813000925
Medical Identifiers
Medical identifiers for Mrs Janice King Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811917974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN162211 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F958 (South Carolina) | 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. Mrs Janice King Holloway allows following entities to bill medicare on her behalf.
| Entity Name | Edisto Regional Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285692681
PECOS PAC ID: 4981693447
Enrollment ID: O20040810000307 |
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| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366527566
PECOS PAC ID: 8527970771
Enrollment ID: O20061212000397 |
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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. Mrs Janice King Holloway 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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Mrs Janice King Holloway, NP
20 Stillwell Rd,
Bluffton, SC 29910-6615
Ph: (843) 757-6376 | Mrs Janice King Holloway, NP
102 Breezewood Ct,
Elloree, SC 29047-8100
Ph: (843) 384-4036 |
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