Jason Holt, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fayetteville, Arkansas. His current practice location is
1100 N College Ave, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 443-4301.
Jason Holt is licensed to practice in Arkansas (license number E-6510) 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 1932328267.
Physician's Profile
| Full Name | Jason Holt |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1100 N College Ave, Fayetteville, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932328267
- Provider Enumeration Date: 04/25/2007
- Last Update Date: 05/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113119504
- Enrollment ID: I20101004000821
Medical Identifiers
Medical identifiers for Jason Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932328267 | NPI | - | NPPES |
| 184323001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | E-6510 (Arkansas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | E-6510 (Arkansas) | 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. Jason Holt allows following entities to bill medicare on his behalf.
| Entity Name | Interventional Pain Specialists Of Nwa Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295032407 PECOS PAC ID: 6901081538 Enrollment ID: O20110426000462 |
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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. Jason 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 |
Jason Holt, MD 4019 N Remington Dr, Fayetteville, AR 72703-6344 Ph: (479) 595-8192 | Jason Holt, MD 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 443-4301 |
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