| James Holler Iii, PA-C | |
|
1 Medical Park Dr, Chester, SC 29706-9769 | |
| (803) 581-3151 | |
| Not Available |
| Full Name | James Holler Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 1 Medical Park Dr, Chester, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316479314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2681 (South Carolina) | Primary |
| 363A00000X | Physician Assistant | 0004913 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Health Lancaster Medical Center | Lancaster, SC | Hospital |
| Musc Health | Chester, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest Emergency Providers | 7012819816 | 497 |
| Entity Name | The Carolinas Emergency Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
| Entity Name | Western Carolina Emergency Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134391758 PECOS PAC ID: 8921171190 Enrollment ID: O20080721000746 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Entity Name | Ballantyne Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164052726 PECOS PAC ID: 8123459898 Enrollment ID: O20200513000736 |
| Entity Name | Stallings Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235728031 PECOS PAC ID: 2769870971 Enrollment ID: O20211020002403 |
| Mailing Address | Practice Location Address |
|---|---|
| James Holler Iii, PA-C Po Box 603898, Charlotte, NC 28260-3898 Ph: (843) 792-6200 | James Holler Iii, PA-C 1 Medical Park Dr, Chester, SC 29706-9769 Ph: (803) 581-3151 |
Drewid Plyer Poulos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 517 Doctors Ct, Chester, SC 29706 Phone: 803-581-2800 |
Marlon D Shelby, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 517 Doctors Ct, Chester, SC 29706 Phone: 803-581-2800 Fax: 803-581-4396 |