Andrew David Housholder, MD is a medicare enrolled "Emergency Medicine" physician in Mountain Brk, Alabama. His current practice location is
2700 Highway 280 S Ste 460e, Mountain Brk, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 772-9595.
Andrew David Housholder is licensed to practice in Alabama (license number MD.30752) 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 1265666085.
Physician's Profile
| Full Name | Andrew David Housholder |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 2700 Highway 280 S Ste 460e, Mountain Brk, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265666085
- Provider Enumeration Date: 05/07/2009
- Last Update Date: 01/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608059050
- Enrollment ID: I20110323000457
Medical Identifiers
Medical identifiers for Andrew David Housholder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265666085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | ME 114660 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 2016-00905 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | MD.30752 (Alabama) | 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. Andrew David Housholder allows following entities to bill medicare on his behalf.
| Entity Name | University Of Alabama Health Services Foundation, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093768723
PECOS PAC ID: 1951213107
Enrollment ID: O20031105000261 |
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| Entity Name | Paragon Contracting Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20050218000756 |
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| Entity Name | Trinity Emergency Physicians, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487669016
PECOS PAC ID: 7911909973
Enrollment ID: O20070205000660 |
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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. Andrew David Housholder 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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Andrew David Housholder, MD
2700 Highway 280 S Ste 460e,
Mountain Brk, AL 35223-5407
Ph: (205) 772-9595 | Andrew David Housholder, MD
2700 Highway 280 S Ste 460e,
Mountain Brk, AL 35223-5407
Ph: (205) 772-9595 |
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