Leo Martin Holm Jr, MD is a medicare enrolled "Family Medicine" physician in Overton, Texas. He went to University Of Texas Medical School At Houston and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice University Of Texas Health Science Center At Tyler-facility-physician and his current practice location is
102 W Henderson St Ste A, Overton, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 834-0201.
Leo Martin Holm Jr is licensed to practice in Texas (license number K5310) 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 1104815125.
Physician's Profile
| Full Name | Leo Martin Holm Jr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 102 W Henderson St Ste A, Overton, Texas |
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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:
- Leo Martin Holm Jr attended and graduated from University Of Texas Medical School At Houston in 1997
NPI Data:
- NPI Number: 1104815125
- Provider Enumeration Date: 10/21/2005
- Last Update Date: 11/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 2860531712
- Enrollment ID: I20091205000204
Medical Identifiers
Medical identifiers for Leo Martin Holm Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104815125 | NPI | - | NPPES |
| 120684901 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | K5310 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Texas Health Science Center At Tyler-facility-physician | 4981699220 | 94 |
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. Leo Martin Holm Jr allows following entities to bill medicare on his behalf.
| Entity Name | University Of Texas Health Science Center At Tyler-facility-physician |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063400778
PECOS PAC ID: 4981699220
Enrollment ID: O20040416001048 |
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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. Leo Martin Holm Jr 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 |
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Leo Martin Holm Jr, MD
Po Box 731912,
Dallas, TX 75373-1912
Ph: () - | Leo Martin Holm Jr, MD
102 W Henderson St Ste A,
Overton, TX 75684-1613
Ph: (903) 834-0201 |
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