Kenneth C Holbrook, PA - Medicare Physician Assistant in Austell, GA

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Kenneth C Holbrook, PA is a medicare enrolled "Physician Assistant" in Austell, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2002 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Resurgens, Llc and his current practice location is 2041 Mesa Valley Way, Suite 100, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 944-1100.

Kenneth C Holbrook is licensed to practice in Georgia (license number 003877) 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 1194790139.

Contact Information

Kenneth C Holbrook, PA
2041 Mesa Valley Way, Suite 100,
Austell, GA 30106-6828
(770) 944-1100
(770) 944-6469

Map and Direction




Provider's Profile

Full NameKenneth C Holbrook
GenderMale
SpecialityPhysician Assistant
Experience24 Years
Location2041 Mesa Valley Way, Austell, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth C Holbrook attended and graduated from Medical College Of Georgia School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1194790139
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 05/20/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6002976156
  • Enrollment ID: I20081119000130

Medical Identifiers

Medical identifiers for Kenneth C Holbrook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194790139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 003877 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Kennestone Regional Medical CenterMarietta, GAHospital
Wellstar Cobb Medical CenterAustell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Resurgens, Llc1153224142184

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 C Holbrook allows following entities to bill medicare on his behalf.
Entity NameResurgens, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386697928
PECOS PAC ID: 1153224142
Enrollment ID: O20040128000595

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 C Holbrook 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 C Holbrook, PA
2041 Mesa Valley Way, Suite 100,
Austell, GA 30106-6828

Ph: (770) 944-1100		Kenneth C Holbrook, PA
2041 Mesa Valley Way, Suite 100,
Austell, GA 30106-6828

Ph: (770) 944-1100

Reviews and Comments


Physician Assistant Nurses in Austell, GA

Mrs. Lauren S Snyder, PA-C
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Practice Location: 1700 Hospital South Dr Ste 300, Austell, GA 30106
Phone: 770-944-2830    Fax: 678-581-7170
Madison Mckenzie Akin, PA
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Medicare: May Accept Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Ms. Melissa Anne Martel, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Mr. Jeffrey N Hairston, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 2041 Mesa Valley Way, Suite 100, Austell, GA 30106
Phone: 770-944-1100    Fax: 770-941-7227
Lauren Cannon,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 706-863-9595    Fax: 706-868-8375
Bethany Bixler Quinn, P.A.
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Medicare: Accepting Medicare Assignments
Practice Location: 3820 Medical Park Dr, Austell, GA 30106
Phone: 770-948-6041    Fax: 770-819-2987
Douglas A. Hernandez, PA
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Medicare: Not Enrolled in Medicare
Practice Location: 2041 Mesa Valley Way Ste 100, Austell, GA 30106
Phone: 770-944-1100    

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.