Dr Kenny Holloway, OD in Jasper, GA - Medicare Optometrist Provider

Dr Kenny Holloway, OD is a medicare enrolled "Optometrist" provider in Jasper, Georgia. His current practice location is 105 N Main St Ste 1, Jasper, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 692-5633.

Dr Kenny Holloway is licensed to practice in Georgia (license number OPT002252) 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 1912990714.

Contact Information

	Dr Kenny Holloway, OD
	105 N Main St Ste 1, Jasper, GA 30143-1557
	(706) 692-5633
	(706) 692-0027

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenny Holloway
Gender	Male
Speciality	Optometrist
Location	105 N Main St Ste 1, Jasper, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912990714
Provider Enumeration Date: 08/26/2005
Last Update Date: 01/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5496780991
Enrollment ID: I20051004000464

Medical Identifiers

Medical identifiers for Dr Kenny Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912990714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT002252 (Georgia)	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. Dr Kenny Holloway allows following entities to bill medicare on his behalf.

Provider Name	Kenny Holloway Od Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417589664 PECOS PAC ID: 8123242831 Enrollment ID: O20210514001342

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. Dr Kenny 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
Dr Kenny Holloway, OD 105 N Main St Ste 1, Jasper, GA 30143-1557 Ph: (706) 692-5633	Dr Kenny Holloway, OD 105 N Main St Ste 1, Jasper, GA 30143-1557 Ph: (706) 692-5633

Reviews and Comments

Optometrist in Jasper, GA

Dr. Lauren Brooke Yancey, OD Optometrist Medicare: Medicare Enrolled Practice Location: 150 Interstate South Dr Ste 200, Jasper, GA 30143 Phone: 678-454-7329 Fax: 678-454-7331
Rose A Darby, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 W Church St, Jasper, GA 30143 Phone: 706-692-7510
The Eye Place Optometrist Medicare: Medicare Enrolled Practice Location: 105 N Main St Ste 100, Jasper, GA 30143 Phone: 678-315-9446
Pickens Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 W Church St, Jasper, GA 30143 Phone: 706-692-2878 Fax: 706-692-2879
Gilbert James Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 W Church St, Jasper, GA 30143 Phone: 706-692-7510 Fax: 706-692-7512
Maria Bencsath, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 W Church St, Jasper, GA 30143 Phone: 706-692-2878 Fax: 706-692-2879
Mr. Charles Isaac Newcomer, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 150 Interstate South Drive Suite 200, Jasper, GA 30143 Phone: 678-454-7329 Fax: 678-454-7331

Dr Kenny Holloway, OD - Medicare Optometrist in Jasper, GA