Dr Russell Lane Holderness, DDS - Medicare Dentist in Venice, FL

Dr Russell Lane Holderness, DDS is a medicare enrolled "Dentist" provider in Venice, Florida. His current practice location is 1150 Jacaranda Blvd, Venice, Florida. You can reach out to his office (for appointments etc.) via phone at (703) 966-4674.

Dr Russell Lane Holderness is licensed to practice in Florida (license number DN31046) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679808166.

Contact Information

Dr Russell Lane Holderness, DDS
1150 Jacaranda Blvd,
Venice, FL 34292
(703) 966-4674
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Russell Lane Holderness
GenderMale
SpecialityDentist
Location1150 Jacaranda Blvd, Venice, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679808166
  • Provider Enumeration Date: 10/16/2009
  • Last Update Date: 04/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7911316211
  • Enrollment ID: I20210517000761

Medical Identifiers

Medical identifiers for Dr Russell Lane Holderness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679808166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DN31046 (Florida)Primary

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 Russell Lane Holderness 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
Dr Russell Lane Holderness, DDS
522 Pine Ranch East Rd,
Osprey, FL 34229-8973

Ph: (703) 966-4674
Dr Russell Lane Holderness, DDS
1150 Jacaranda Blvd,
Venice, FL 34292

Ph: (703) 966-4674

Reviews and Comments


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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.