John Blake Holt, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Ormond Beach, Florida. His current practice location is
1240 W Granada Blvd Fl 2, Ormond Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 672-9503.
John Blake Holt is licensed to practice in Florida (license number ME58979) 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 1932195385.
Physician's Profile
| Full Name | John Blake Holt |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1240 W Granada Blvd Fl 2, Ormond Beach, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Blake Holt attended and graduated from in
NPI Data:
- NPI Number: 1932195385
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 01/21/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for John Blake Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932195385 | NPI | - | NPPES |
| 007WM | Other | FL | BLUE SHIELD FLORIDA |
| P01369815-INDIVIDUAL | Other | FL | RR MEDICARE |
| DV0492-GROUP | Other | FL | RR MEDICARE |
| 371580900-INDIVIDUAL | Medicaid | FL | |
| 012903200-GROUP | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | ME58979 (Florida) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME58979 (Florida) | Primary |
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. John Blake 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 |
|---|
John Blake Holt, MD
1240 W Granada Blvd,
Ormond Beach, FL 32174-5915
Ph: (386) 236-6854 | John Blake Holt, MD
1240 W Granada Blvd Fl 2,
Ormond Beach, FL 32174-5915
Ph: (386) 672-9503 |
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