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

Mrs Kayla Jolly Holt, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bolivar, Tennessee. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ultra Health Llc and 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 accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 Name	Mrs Kayla Jolly Holt
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	700 Nuckolls Rd, Bolivar, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kayla Jolly Holt graduated from nursing school in 2022

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.

Identifier	Type	State	Issuer
1205557964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	31775 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ultra Health Llc	6800186602	113

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 Name	Ultra Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20160607002194

Entity Name	Smoky Mountain Primary Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Anna Kate Perry, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 622 W Market St, Bolivar, TN 38008 Phone: 731-422-0213 Fax: 731-256-7628
Mrs. Tammi L Ferguson, FNP Nurse Practitioner Medicare: Medicare Enrolled 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

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