Jean L Holley, MD - Medicare Internal Medicine in Urbana, IL

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Jean L Holley, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Urbana, Illinois. Her current practice location is 611 W. Park St., Nephrology, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 383-3605.

Jean L Holley is licensed to practice in Illinois (license number 03606251) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649349259.

Contact Information

Jean L Holley, MD
611 W. Park St., Nephrology,
Urbana, IL 61801-2500
(217) 383-3605
(217) 383-2704

Map and Direction




Physician's Profile

Full NameJean L Holley
GenderFemale
SpecialityInternal Medicine - Nephrology
Location611 W. Park St., Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649349259
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 10/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0840204681
  • Enrollment ID: I20070806000595

Medical Identifiers

Medical identifiers for Jean L Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649349259NPI-NPPES
005865051MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 0101231892 (Virginia)Secondary
207RN0300XInternal Medicine - Nephrology 03606251 (Illinois)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. Jean L Holley allows following entities to bill medicare on her behalf.
Entity NamePromise Healthcare Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578821005
PECOS PAC ID: 6103071345
Enrollment ID: O20130219000476

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. Jean L 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
Jean L Holley, MD
611 W. Park St., Bwpc,
Urbana, IL 61801-2500

Ph: (217) 383-6792		Jean L Holley, MD
611 W. Park St., Nephrology,
Urbana, IL 61801-2500

Ph: (217) 383-3605

Reviews and Comments


Internal Medicine Doctors in Urbana, IL

Joselyn Joseph, MD
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Phone: 217-383-3129    Fax: 217-326-1550
Dr. Uday Bhaskar Kanakadandi, MD
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Robert W. Kirby, M.D.
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Phone: 217-383-3311    
Pardeep Kumar Thourani, M.D.
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Practice Location: 611 W Park St, Carle Forum, Ll, Urbana, IL 61801
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Benjamin J Rhee, MD
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Practice Location: 611 W. Park St., Cardiology, Urbana, IL 61801
Phone: 217-904-7000    Fax: 217-904-7742
Mr. Mobeen Zaka Haider, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 611 W. Park St. Carle Foundation Hospital, Urbana, IL 61801
Phone: 217-383-3310    

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.