Everett Dean Holley, MD - Medicare Emergency Medicine in Tyler, TX

Everett Dean Holley, MD is a medicare enrolled "Emergency Medicine" physician in Tyler, Texas. His current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 531-4262.

Everett Dean Holley is licensed to practice in Texas (license number L6065) 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 1073547782.

Contact Information

Everett Dean Holley, MD
800 E Dawson St,
Tyler, TX 75701-2036
(903) 531-4262
Not Available

Map and Direction




Physician's Profile

Full NameEverett Dean Holley
GenderMale
SpecialityEmergency Medicine
Location800 E Dawson St, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073547782
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 11/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7012905979
  • Enrollment ID: I20040501000126

Medical Identifiers

Medical identifiers for Everett Dean Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073547782NPI-NPPES
158367610MedicaidTX
75-2616977-002OtherTXTRICARE
8DU752OtherTXBCBS
P01304462OtherTXRAIL ROAD
158367611MedicaidTX
751976930005OtherTXTRICARE
P00662854OtherTXRAIL ROAD
158367613MedicaidTX
P00792073OtherTXRAIL ROAD
158367612MedicaidTX
75-2616977-01OtherTXTRICARE
75-2616977-028OtherTXTRICARE
75-0818167-048OtherTXTRICARE
TIN PLUS 015OtherTXTRICARE
158367614MedicaidTX
750818167015OtherTXTRICARE
750818167044OtherTXTRICARE
75-0818167022OtherTXTRICARE
8X8161OtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine L6065 (Texas)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. Everett Dean Holley allows following entities to bill medicare on his behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameMother Frances Hospital Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952306672
PECOS PAC ID: 5597751024
Enrollment ID: O20040421001092
Entity NameMother Frances Hospital Regional Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679578439
PECOS PAC ID: 9234025636
Enrollment ID: O20040610001042
Entity NameNortheast Texas Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114607611
PECOS PAC ID: 8527420306
Enrollment ID: O20230810001225

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. Everett Dean Holley 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
Everett Dean Holley, MD
Po Box 841656,
Dallas, TX 75284-1656

Ph: (903) 531-5000
Everett Dean Holley, MD
800 E Dawson St,
Tyler, TX 75701-2036

Ph: (903) 531-4262

Reviews and Comments


Emergency Medicine Doctors in Tyler, TX

James Carr, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-606-4262    
Dr. Shawn D Pierce, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 833 S Beckham Ave, Tyler, TX 75701
Phone: 903-780-4396    
Dr. James Michael Wilson, MD, MPH
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-525-1914    
Dr. Dallas Wright, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-531-4262    Fax: 903-531-5097
Dr. Jackie Rose, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-597-0351    Fax: 903-592-5282
Steven W Cooley, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 270 Saddle Creek Dr, Tyler, TX 75703
Phone: 903-574-4341    

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.