Kenneth L Holbert, MD - Medicare Emergency Medicine in Mc Minnville, TN

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Kenneth L Holbert, MD is a medicare enrolled "Emergency Medicine" physician in Mc Minnville, Tennessee. His current practice location is 1559 Sparta St, Mc Minnville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 815-4000.

Kenneth L Holbert is licensed to practice in Tennessee (license number 21847) 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 1093762148.

Contact Information

Kenneth L Holbert, MD
1559 Sparta St,
Mc Minnville, TN 37110-1316
(931) 815-4000
Not Available

Map and Direction




Physician's Profile

Full NameKenneth L Holbert
GenderMale
SpecialityEmergency Medicine
Location1559 Sparta St, Mc Minnville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093762148
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 11/06/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2466408497
  • Enrollment ID: I20050323000614

Medical Identifiers

Medical identifiers for Kenneth L Holbert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093762148NPI-NPPES
P00297030OtherTNMEDICARE RAILROAD
P00259801OtherTNMEDICARE RAILROAD
3073134MedicaidTN
3051807OtherTNBLUE CROSS
3062431OtherTNBLUE CROSS
37513OtherTNTLC TENNCARE
532950OtherTNOMNICARE TENNCARE
3045786OtherTNBLUE CROSS
5001148OtherTNTLC TENNCARE
3333055MedicaidTN
3073132MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 21847 (Tennessee)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. Kenneth L Holbert allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameEmergency Coverage Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666

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. Kenneth L Holbert 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
Kenneth L Holbert, MD
Po Box 634706,
Cincinnati, OH 45263-0001

Ph: () -		Kenneth L Holbert, MD
1559 Sparta St,
Mc Minnville, TN 37110-1316

Ph: (931) 815-4000

Reviews and Comments


Emergency Medicine Doctors in Mc Minnville, TN

Herbert X Smith, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1559 Sparta St, Mc Minnville, TN 37110
Phone: 931-815-4000    
Mark Timothy Weeks, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1559 Sparta St, Mc Minnville, TN 37110
Phone: 931-815-4000    

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.