Paul Chase Holt, PNP in Maryville, TN - Medicare Nurse Practitioner

Paul Chase Holt, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Maryville, Tennessee. His current practice location is 414 Greenbelt Dr, Maryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 982-0032.

Paul Chase Holt is licensed to practice in Tennessee (license number 22996) 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 1558871608.

Contact Information

	Paul Chase Holt, PNP
	414 Greenbelt Dr, Maryville, TN 37804-5702
	(865) 982-0032
	(865) 983-4172

Map and Direction

Provider's Profile

Full Name	Paul Chase Holt
Gender	Male
Speciality	Nurse Practitioner - Pediatrics
Location	414 Greenbelt Dr, Maryville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558871608
Provider Enumeration Date: 10/03/2017
Last Update Date: 03/18/2020

Medicare PECOS Information:

PECOS PAC ID: 5991136848
Enrollment ID: I20200511001434

Medical Identifiers

Medical identifiers for Paul Chase Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558871608	NPI	-	NPPES
Q048652	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	22996 (Tennessee)	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. Paul Chase Holt allows following entities to bill medicare on his behalf.

Entity Name	Summit Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793

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. Paul Chase 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
Paul Chase Holt, PNP 1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383 Ph: (865) 584-4747	Paul Chase Holt, PNP 414 Greenbelt Dr, Maryville, TN 37804-5702 Ph: (865) 982-0032

Reviews and Comments

Nurse Practitioner Nurses in Maryville, TN

Mrs. Kellie R. Gaby, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-238-6430 Fax: 865-238-6444
Mrs. Olga Maria Gardner, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Christina Marie Valentin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4796
Dalya Tobea Frank, APN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Harley Gibbs, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 Parliament Dr Ste A, Maryville, TN 37804 Phone: 561-716-6894
Samantha Pendergrass, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5795
Alyssa R. Atchley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 Jamestown Way, Maryville, TN 37803 Phone: 865-246-2104 Fax: 865-246-2106

Paul Chase Holt, PNP - Medicare Nurse Practitioner in Maryville, TN