Jason Holland, PHD is a medicare enrolled "Psychologist - Clinical" provider in Gallatin, Tennessee. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
106 Public Sq Ste 105, Gallatin, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 675-0025.
Jason Holland is licensed to practice in Tennessee (license number 3590) 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 1912478108.
Healthcare Provider's Profile
| Full Name | Jason Holland |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 16 Years |
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| Location | 106 Public Sq Ste 105, Gallatin, Tennessee |
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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:
- Jason Holland graduated from medical school in 2008
NPI Data:
- NPI Number: 1912478108
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 09/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 2163760190
- Enrollment ID: I20190215002395
Medical Identifiers
Medical identifiers for Jason Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912478108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TA0700X | Psychologist - Adult Development & Aging | 3590 (Tennessee) | Secondary |
| 103TF0200X | Psychologist - Forensic | 3590 (Tennessee) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3590 (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. Jason Holland allows following entities to bill medicare on his behalf.
| Entity Name | Lifespark Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396217816
PECOS PAC ID: 1254679285
Enrollment ID: O20190215002208 |
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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. Jason Holland 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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Jason Holland, PHD
106 Public Sq Ste 105,
Gallatin, TN 37066-3204
Ph: (615) 675-0025 | Jason Holland, PHD
106 Public Sq Ste 105,
Gallatin, TN 37066
Ph: (615) 675-0025 |
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