Kristy L Holland, MD - Medicare Internal Medicine in Belleville, IL

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Kristy L Holland, MD is a medicare enrolled "Emergency Medicine" physician in Belleville, Illinois. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Southeastern Emergency Physicians Of Memphis Llc and her current practice location is 211 S 3rd St, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 234-2120.

Kristy L Holland is licensed to practice in Illinois (license number 036-112397) 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 1255363420.

Contact Information

Kristy L Holland, MD
211 S 3rd St,
Belleville, IL 62220-1915
(618) 234-2120
Not Available

Map and Direction




Physician's Profile

Full NameKristy L Holland
GenderFemale
SpecialityInternal Medicine
Experience23 Years
Location211 S 3rd St, Belleville, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristy L Holland graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1255363420
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 10/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3173561891
  • Enrollment ID: I20050421001379

Medical Identifiers

Medical identifiers for Kristy L Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255363420NPI-NPPES
0008232153OtherILBLUECROSS BLUESHIELD
06032182OtherILBLUE CROSS BLUE SHIELD
036112397MedicaidIL
08232204OtherILBLUE CROSS BLUE SHIELD
08232205OtherILBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-112397 (Illinois)Primary
207R00000XInternal Medicine 036-112397 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alton Memorial HospitalAlton, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Of Memphis Llc539564320988

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. Kristy L Holland allows following entities to bill medicare on her behalf.
Entity NameMidwest Emergency Good Samaritan, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629367578
PECOS PAC ID: 1658529342
Enrollment ID: O20120921000645
Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20150520001245
Entity NameEmergency Services Midwest Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174024806
PECOS PAC ID: 2769746056
Enrollment ID: O20180515000619

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. Kristy L 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 AddressPractice Location Address
Kristy L Holland, MD
Po Box 8882,
Fort Worth, TX 76124-0882

Ph: (817) 451-4208		Kristy L Holland, MD
211 S 3rd St,
Belleville, IL 62220-1915

Ph: (618) 234-2120

Reviews and Comments


Emergency Medicine Doctors in Belleville, IL

Dr. Neil Mcclymont, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Memorial Hospital - Er, Belleville, IL 62226
Phone: 618-233-7750    Fax: 618-257-6860
Michelle M Vandorn, DO
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Practice Location: 4315 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    
Judith L Wuller, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 S 3rd St, Belleville, IL 62220
Phone: 618-234-2120    
Dr. Djiby Diop, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-5879    Fax: 618-257-6740
Dr. Lundy Wade Colvert, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-5879    Fax: 618-257-6740
Dr. Robert W Mecker Jr., M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-5879    Fax: 618-257-6740

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.