Mari Shelly Holderby, OD - Medicare Optometrist in Orlando, FL

Mari Shelly Holderby, OD is a medicare enrolled "Optometrist" provider in Orlando, Florida. Her current practice location is 7912 Forest City Rd, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 905-8827.

Mari Shelly Holderby is licensed to practice in Florida (license number OPC4915) 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 1881001626.

Contact Information

Mari Shelly Holderby, OD
7912 Forest City Rd,
Orlando, FL 32810-2907
(407) 905-8827
(321) 221-2047

Map and Direction




Healthcare Provider's Profile

Full NameMari Shelly Holderby
GenderFemale
SpecialityOptometrist
Location7912 Forest City Rd, Orlando, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881001626
  • Provider Enumeration Date: 07/14/2014
  • Last Update Date: 04/28/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0143440065
  • Enrollment ID: I20140927000238

Medical Identifiers

Medical identifiers for Mari Shelly Holderby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881001626NPI-NPPES
012769900MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPC4915 (Florida)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. Mari Shelly Holderby allows following entities to bill medicare on her behalf.
Provider NameCommunity Health Centers, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134258684
PECOS PAC ID: 4082515390
Enrollment ID: O20040120000172
Provider NameAeg Florida Professional Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1164156246
PECOS PAC ID: 3870960032
Enrollment ID: O20221101003017

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. Mari Shelly Holderby 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
Mari Shelly Holderby, OD
110 S Woodland St,
Winter Garden, FL 34787-3546

Ph: (407) 905-8827
Mari Shelly Holderby, OD
7912 Forest City Rd,
Orlando, FL 32810-2907

Ph: (407) 905-8827

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.