Dr Jacob Harvey Holley Iii, MD - Medicare General Surgery in Donalsonville, GA

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Dr Jacob Harvey Holley Iii, MD is a medicare enrolled "Surgery" physician in Donalsonville, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Southwest Georgia Healthcare Clinics, Inc and his current practice location is 214 Cherry St, Donalsonville, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 524-2232.

Dr Jacob Harvey Holley Iii is licensed to practice in South Carolina (license number 36063) 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 1962842013.

Contact Information

Dr Jacob Harvey Holley Iii, MD
214 Cherry St,
Donalsonville, GA 39845-1616
(229) 524-2232
(229) 524-8766

Map and Direction




Physician's Profile

Full NameDr Jacob Harvey Holley Iii
GenderMale
SpecialityGeneral Surgery
Experience11 Years
Location214 Cherry St, Donalsonville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacob Harvey Holley Iii attended and graduated from Medical College Of Georgia School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1962842013
  • Provider Enumeration Date: 07/02/2013
  • Last Update Date: 09/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6901032085
  • Enrollment ID: I20181022001718

Medical Identifiers

Medical identifiers for Dr Jacob Harvey Holley Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962842013NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 36063 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Donalsonville Hospital IncDonalsonville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Georgia Healthcare Clinics, Inc97394578965

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. Dr Jacob Harvey Holley Iii allows following entities to bill medicare on his behalf.
Entity NameDonalsonville Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720095805
PECOS PAC ID: 7113919820
Enrollment ID: O20040401001194
Entity NameJeffrey N Holley Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770620098
PECOS PAC ID: 9739142092
Enrollment ID: O20041108000630
Entity NameSouthwest Georgia Healthcare Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881867000
PECOS PAC ID: 9739457896
Enrollment ID: O20170613002024

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 Jacob Harvey Holley Iii 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 Jacob Harvey Holley Iii, MD
101 E Wood St,
Spartanburg, SC 29303-3040

Ph: (229) 254-1857		Dr Jacob Harvey Holley Iii, MD
214 Cherry St,
Donalsonville, GA 39845-1616

Ph: (229) 524-2232

Reviews and Comments


Surgery Doctors in Donalsonville, GA

Joseph Lynn Walker, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 804 N Wiley Ave, Wiregrass Medical And Surgical Group, Donalsonville, GA 39845
Phone: 229-524-2706    
Dr. Charles Osborne Walker Jr., MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 804 N Wiley Ave, Donalsonville, GA 39845
Phone: 229-524-2706    Fax: 229-524-2738

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.