Mrs Kayla Jolly Holt, FNP-C - Medicare Nurse Practitioner in Bolivar, TN

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Mrs Kayla Jolly Holt, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bolivar, Tennessee. Her current practice location is 700 Nuckolls Rd, Bolivar, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 394-1145.

Mrs Kayla Jolly Holt is licensed to practice in Tennessee (license number 31775) 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 1205557964.

Contact Information

Mrs Kayla Jolly Holt, FNP-C
700 Nuckolls Rd,
Bolivar, TN 38008-1531
(731) 394-1145
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kayla Jolly Holt
GenderFemale
SpecialityNurse Practitioner - Family
Location700 Nuckolls Rd, Bolivar, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205557964
  • Provider Enumeration Date: 09/09/2022
  • Last Update Date: 08/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769852698
  • Enrollment ID: I20230110001477

Medical Identifiers

Medical identifiers for Mrs Kayla Jolly Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205557964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 31775 (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. Mrs Kayla Jolly Holt allows following entities to bill medicare on her behalf.
Entity NameUltra Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20160607002194
Entity NameSmoky Mountain Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932602448
PECOS PAC ID: 6002178050
Enrollment ID: O20180403000485

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. Mrs Kayla Jolly Holt 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
Mrs Kayla Jolly Holt, FNP-C
36 Pemberton Cv,
Jackson, TN 38305-5514

Ph: (731) 394-1145		Mrs Kayla Jolly Holt, FNP-C
700 Nuckolls Rd,
Bolivar, TN 38008-1531

Ph: (731) 394-1145

Reviews and Comments


Nurse Practitioner Nurses in Bolivar, TN

Mrs. Tammi L Ferguson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 W Market St, Suite J, Bolivar, TN 38008
Phone: 731-652-5772    Fax: 731-658-1981
Ms. Jeannie A Ferri, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Maggie G. Billings, FNP, BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11100 Highway 64, Bolivar, TN 38008
Phone: 731-518-8480    Fax: 731-658-4216
Rachel Tosh, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1359 W Market St, Bolivar, TN 38008
Phone: 731-361-1003    Fax: 731-361-1004
Gregary Byers, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 107 Tennessee St, Bolivar, TN 38008
Phone: 731-212-3196    Fax: 731-212-3193
Rubye Couchoud, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10710 Old Highway 64, Bolivar, TN 38008
Phone: 731-658-6113    Fax: 731-658-1597

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.