Jacob Eric Ronald Holt, MD in Johnson City, TN

Jacob Eric Ronald Holt, MD is a medicare enrolled "Family Medicine" physician in Johnson City, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeastern Physician Services Pc and his current practice location is 119 Boone Ridge Dr, Suite 201, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 282-1480.

Jacob Eric Ronald Holt is licensed to practice in Tennessee (license number 42090) 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 1194831636.

Contact Information

	Jacob Eric Ronald Holt, MD
	119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998
	(423) 282-1480
	(423) 928-1353

Map and Direction

Physician's Profile

Full Name	Jacob Eric Ronald Holt
Gender	Male
Speciality	Family Practice
Experience	24 Years
Location	119 Boone Ridge Dr, Johnson City, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Eric Ronald Holt attended and graduated from East Tennessee State University Quillen College Of Medicine in 2001

NPI Data:

NPI Number: 1194831636
Provider Enumeration Date: 08/21/2006
Last Update Date: 05/08/2014

Medicare PECOS Information:

PECOS PAC ID: 6002876331
Enrollment ID: I20070710001001

Medical Identifiers

Medical identifiers for Jacob Eric Ronald Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194831636	NPI	-	NPPES
73375039	Medicaid	CO
3000017	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	42090 (Tennessee)	Secondary
207Q00000X	Family Medicine	42090 (Tennessee)	Primary
207R00000X	Internal Medicine	42866 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Bristol Regional Medical Center	Bristol, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Physician Services Pc	0042307852	529

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. Jacob Eric Ronald Holt allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

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. Jacob Eric Ronald Holt 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
Jacob Eric Ronald Holt, MD 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 Ph: (423) 282-1480	Jacob Eric Ronald Holt, MD 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 Ph: (423) 282-1480

Reviews and Comments

Family Medicine Doctors in Johnson City, TN

Dr. Paula Renee Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604 Phone: 423-431-1810 Fax: 423-431-1811
David T Deroos, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Summer Rose Ln, Johnson City, TN 37601 Phone: 704-658-8727
Dr. Clinton Steve Webb, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060
Dr. Nazia Iqbal Shehzad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060
Dr. Paige Mcclear, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464
Janice B. Schweitzer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 378 Marketplace Dr, Suite 5, Johnson City, TN 37604 Phone: 423-282-0751 Fax: 423-282-1577
Jim L Wilson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 Fax: 423-439-7118

Jacob Eric Ronald Holt, MD - Medicare Family Practice in Johnson City, TN