Nathan J Holloway, MD is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in United States Air Force Acad, Colorado. His current practice location is
4102 Pinion Dr, United States Air Force Acad, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 333-5950.
Nathan J Holloway is licensed to practice in Colorado (license number DR.0071235) 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 1962793877.
Physician's Profile
| Full Name | Nathan J Holloway |
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| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 4102 Pinion Dr, United States Air Force Acad, Colorado |
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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: 1962793877
- Provider Enumeration Date: 04/26/2011
- Last Update Date: 11/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416186358
- Enrollment ID: I20211028001975
Medical Identifiers
Medical identifiers for Nathan J Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962793877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 21318 (Nevada) | Secondary |
| 207P00000X | Emergency Medicine | 2016-00409 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 27217 (Nebraska) | Secondary |
| 207P00000X | Emergency Medicine | ME133632 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | DR.0071235 (Colorado) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | DR.0071235 (Colorado) | 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. Nathan J Holloway allows following entities to bill medicare on his behalf.
| Entity Name | Sound Physicians Emergency Medicine Of Nevada Bessler Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881151231
PECOS PAC ID: 1254666993
Enrollment ID: O20190717001801 |
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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. Nathan J Holloway 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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Nathan J Holloway, MD
4102 Pinion Dr,
United States Air Force Acad, CO 80840-2502
Ph: (719) 333-5962 | Nathan J Holloway, MD
4102 Pinion Dr,
United States Air Force Acad, CO 80840-2502
Ph: (719) 333-5950 |
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