Kwanei Dejaccara Holloway, FNP-BC - Medicare Nurse Practitioner in Houston, TX

Kwanei Dejaccara Holloway, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Houston, Texas. Her current practice location is 2323 Polk St Apt 307, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (329) 687-1758.

Kwanei Dejaccara Holloway is licensed to practice in Texas (license number 1152337) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972345213.

Contact Information

Kwanei Dejaccara Holloway, FNP-BC
2323 Polk St Apt 307,
Houston, TX 77003-4407
(329) 687-1758
(713) 583-8095

Map and Direction




Provider's Profile

Full NameKwanei Dejaccara Holloway
GenderFemale
SpecialityNurse Practitioner - Family
Location2323 Polk St Apt 307, Houston, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972345213
  • Provider Enumeration Date: 06/08/2024
  • Last Update Date: 01/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5193245645
  • Enrollment ID: I20250227000615

Medical Identifiers

Medical identifiers for Kwanei Dejaccara Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972345213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1152337 (Texas)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. Kwanei Dejaccara Holloway allows following entities to bill medicare on her behalf.
Entity NameKjcares Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740748813
PECOS PAC ID: 0941540975
Enrollment ID: O20200708002171

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. Kwanei Dejaccara Holloway 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
Kwanei Dejaccara Holloway, FNP-BC
231 Wood Circle Ln,
Houston, TX 77015-2073

Ph: (901) 503-3480
Kwanei Dejaccara Holloway, FNP-BC
2323 Polk St Apt 307,
Houston, TX 77003-4407

Ph: (329) 687-1758

Reviews and Comments


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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.