Jennifer Samples Holl, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Sarasota, Florida. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Smh Physician Services Inc and her current practice location is
1921 Waldemere St, Sarasota, Florida. You can reach out to her office (for appointments etc.) via phone at
(941) 261-1400.
Jennifer Samples Holl is licensed to practice in Florida (license number ME162888) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336460922.
Physician's Profile
| Full Name | Jennifer Samples Holl |
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| Gender | Female |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 14 Years |
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| Location | 1921 Waldemere St, Sarasota, Florida |
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| Accepts Medicare Assignments | Yes. She 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:
- Jennifer Samples Holl graduated from medical school in 2010
NPI Data:
- NPI Number: 1336460922
- Provider Enumeration Date: 06/17/2010
- Last Update Date: 06/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870717085
- Enrollment ID: I20230622000363
Medical Identifiers
Medical identifiers for Jennifer Samples Holl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336460922 | NPI | - | NPPES |
| 1336460922 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 2018-01719 (North Carolina) | Secondary |
| 208C00000X | Colon & Rectal Surgery | ME162888 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Smh Physician Services Inc | 1355240177 | 592 |
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. Jennifer Samples Holl allows following entities to bill medicare on her behalf.
| Entity Name | Smh Physician Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346295292
PECOS PAC ID: 1355240177
Enrollment ID: O20031231000211 |
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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. Jennifer Samples Holl 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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Jennifer Samples Holl, MD
Po Box 947407,
Atlanta, GA 30394-7407
Ph: (941) 917-2600 | Jennifer Samples Holl, MD
1921 Waldemere St,
Sarasota, FL 34239-2943
Ph: (941) 261-1400 |
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