Keitha Dewitt Holland, MD in Conway, AR - Medicare Obstetrics/gynecology

Keitha Dewitt Holland, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Conway, Arkansas. She went to University Of Arkansas College Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Conway Ob-gyn Clinic Pa and her current practice location is 2180 Ada Avenue, Suite 300, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 327-6547.

Keitha Dewitt Holland is licensed to practice in Arkansas (license number E4528) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013988609.

Contact Information

	Keitha Dewitt Holland, MD
	2180 Ada Avenue, Suite 300, Conway, AR 72034-7203
	(501) 327-6547
	(501) 327-3478

Map and Direction

Physician's Profile

Full Name	Keitha Dewitt Holland
Gender	Female
Speciality	Obstetrics/gynecology
Experience	24 Years
Location	2180 Ada Avenue, Conway, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keitha Dewitt Holland attended and graduated from University Of Arkansas College Of Medicine in 2001

NPI Data:

NPI Number: 1013988609
Provider Enumeration Date: 01/31/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6305871229
Enrollment ID: I20050929000426

Medical Identifiers

Medical identifiers for Keitha Dewitt Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013988609	NPI	-	NPPES
157794001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	E4528 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Conway Regional Health System	Conway, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conway Ob-gyn Clinic Pa	9931184280	9

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. Keitha Dewitt Holland allows following entities to bill medicare on her behalf.

Entity Name	Conway Ob-gyn Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235198045 PECOS PAC ID: 9931184280 Enrollment ID: O20040621001432

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. Keitha Dewitt Holland 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
Keitha Dewitt Holland, MD 2519 College Ave, Conway, AR 72034-6135 Ph: (501) 327-6547	Keitha Dewitt Holland, MD 2180 Ada Avenue, Suite 300, Conway, AR 72034-7203 Ph: (501) 327-6547

Reviews and Comments

Obstetrics & Gynecology Doctors in Conway, AR

Paul Lewis Mcchristian, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2519 College Ave, Conway, AR 72034 Phone: 501-327-6547 Fax: 501-327-9715
Dr. Brandie Mcnabb Martin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2519 College Ave, Conway, AR 72034 Phone: 501-450-3920 Fax: 501-450-7718
Dr. Debra C Lawrence, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2519 College Ave, Conway, AR 72034 Phone: 501-450-3920 Fax: 501-450-7718
Audrey Tobey, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 625 United Dr Ste 420, Conway, AR 72032 Phone: 501-358-6941
Phillip Thomas Gullic, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2180 Ada Avenue, Suite 300, Conway, AR 72034 Phone: 501-327-6547 Fax: 501-327-9715
Andrew Axley Cole, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2180 Ada Avenue, Suite 300, Conway, AR 72034 Phone: 501-327-6547 Fax: 501-327-9715

Keitha Dewitt Holland, MD - Medicare Obstetrics/gynecology in Conway, AR