Dr Kenneth G Holder, DPT is a medicare enrolled "Physical Therapist" provider in Perryville, Arkansas. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Knh Llc and his current practice location is
130 Houston Ave, Suite C, Perryville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 889-1900.
Dr Kenneth G Holder is licensed to practice in Arkansas (license number PT 3185) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740514058.
Healthcare Provider's Profile
| Full Name | Dr Kenneth G Holder |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 16 Years |
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| Location | 130 Houston Ave, Perryville, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kenneth G Holder graduated from medical school in 2009
NPI Data:
- NPI Number: 1740514058
- Provider Enumeration Date: 09/21/2009
- Last Update Date: 10/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 0042478281
- Enrollment ID: I20120220000890
Medical Identifiers
Medical identifiers for Dr Kenneth G Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740514058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT 3185 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Knh Llc | 0244498475 | 3 |
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 Kenneth G Holder allows following entities to bill medicare on his behalf.
| Provider Name | Knh Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659640605
PECOS PAC ID: 0244498475
Enrollment ID: O20120220000841 |
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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. Dr Kenneth G Holder 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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Dr Kenneth G Holder, DPT
Po Box 11226,
Conway, AR 72034-0022
Ph: () - | Dr Kenneth G Holder, DPT
130 Houston Ave, Suite C,
Perryville, AR 72126-9451
Ph: (501) 889-1900 |
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