Charles W Holley Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Danville, Kentucky. His current practice location is
216 W Walnut St Ste A, Danville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 239-5870.
Charles W Holley Jr is licensed to practice in Kentucky (license number 55882) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598737728.
Physician's Profile
| Full Name | Charles W Holley Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 216 W Walnut St Ste A, Danville, Kentucky |
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| Accepts Medicare Assignments | Yes. He 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:
- Charles W Holley Jr attended and graduated from in
NPI Data:
- NPI Number: 1598737728
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 10/25/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charles W Holley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598737728 | NPI | - | NPPES |
| GA1807 | Medicaid | SC | |
| 000707836O | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 39268 (South Carolina) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 041833 (Georgia) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 55882 (Kentucky) | 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. Charles W Holley Jr 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 |
|---|
Charles W Holley Jr, MD
Po Box 990,
Danville, KY 40423-0990
Ph: (859) 239-5870 | Charles W Holley Jr, MD
216 W Walnut St Ste A,
Danville, KY 40422-1832
Ph: (859) 239-5870 |
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