Dr Holly M Van De Voort, MD in Moultrie, GA

Dr Holly M Van De Voort, MD is a medicare enrolled "Pediatrics" physician in Moultrie, Georgia. Her current practice location is 6 Hospital Park, Moultrie, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 985-3320.

Dr Holly M Van De Voort is licensed to practice in Georgia (license number 59972) 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 1174740385.

Contact Information

	Dr Holly M Van De Voort, MD
	6 Hospital Park, Moultrie, GA 31768-6700
	(229) 985-3320
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Holly M Van De Voort
Gender	Female
Speciality	Pediatrics
Location	6 Hospital Park, Moultrie, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174740385
Provider Enumeration Date: 04/19/2007
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9335238096
Enrollment ID: I20190326002286

Medical Identifiers

Medical identifiers for Dr Holly M Van De Voort such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174740385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	45023 (Iowa)	Secondary
208000000X	Pediatrics	000517 (Georgia)	Secondary
208000000X	Pediatrics	46504 (Tennessee)	Secondary
208000000X	Pediatrics	28913 (South Carolina)	Secondary
208000000X	Pediatrics	59972 (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 Holly M Van De Voort allows following entities to bill medicare on her behalf.

Entity Name	Mahaska County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639159304 PECOS PAC ID: 2769388677 Enrollment ID: O20041202000965

Entity Name	Mahaska County Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1356320659 PECOS PAC ID: 2769388677 Enrollment ID: O20061104000235

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 Holly M Van De Voort 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 Holly M Van De Voort, MD Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9131	Dr Holly M Van De Voort, MD 6 Hospital Park, Moultrie, GA 31768-6700 Ph: (229) 985-3320

Reviews and Comments

Pediatrics Doctors in Moultrie, GA

Dr. Debra S Selby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Sweet Bay Ct Ste A, Moultrie, GA 31768 Phone: 229-985-1457
Dr. Buford Otto Edwards Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 760 26th Ave Se, Moultrie, GA 31768 Phone: 229-985-1457 Fax: 229-890-9430
Dr. Patricia Lee June, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1317 S Main St, Moultrie, GA 31768 Phone: 229-985-7177 Fax: 229-890-5373
Dr. Anthony Adebayo Adetomiwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-891-9131

Dr Holly M Van De Voort, MD - Medicare Pediatrics in Moultrie, GA