Dr John Alan Holley, MD is a
Family Medicine physician based in Lyle, Washington. Dr John Alan Holley is licensed to practice in Idaho (license number M-11371) and his current practice location is 708 Highway 142, Lyle, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 365-2580.
NPI number for Dr John Alan Holley is 1447258157 and his current mailing address is Po Box 2603, 212 N 3rd Street, Mccall, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447258157.
Physician's Profile
| Full Name | Dr John Alan Holley |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 708 Highway 142, Lyle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447258157
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 12/03/2012
Medical Identifiers
Medical identifiers for Dr John Alan Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447258157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | M-11371 (Idaho) | 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 John Alan Holley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Alan Holley, MD
Po Box 2603, 212 N 3rd Street,
Mccall, ID 83638
Ph: (208) 315-4390 | Dr John Alan Holley, MD
708 Highway 142,
Lyle, WA 98635-9111
Ph: (509) 365-2580 |
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