Dr Douglas Joseph Holder, DPM - Medicare Podiatrist in Clarksville, TN

Dr Douglas Joseph Holder, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Clarksville, Tennessee. His current practice location is 1762 Memorial Dr, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 220-8788.

Dr Douglas Joseph Holder is licensed to practice in Tennessee (license number DPM944) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932738978.

Contact Information

Dr Douglas Joseph Holder, DPM
1762 Memorial Dr,
Clarksville, TN 37043-4562
(615) 220-8788
(615) 220-8688

Map and Direction




Healthcare Provider's Profile

Full NameDr Douglas Joseph Holder
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location1762 Memorial Dr, Clarksville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932738978
  • Provider Enumeration Date: 04/02/2020
  • Last Update Date: 05/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476919960
  • Enrollment ID: I20230526000067

Medical Identifiers

Medical identifiers for Dr Douglas Joseph Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932738978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 59.000849 (Ohio)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery DPM944 (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. Dr Douglas Joseph Holder allows following entities to bill medicare on his behalf.
Provider NameAdvanced Diagnostic Imaging Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677

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. Dr Douglas Joseph Holder 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
Dr Douglas Joseph Holder, DPM
3024 Business Park Cir,
Goodlettsville, TN 37072-3132

Ph: (615) 239-2018
Dr Douglas Joseph Holder, DPM
1762 Memorial Dr,
Clarksville, TN 37043-4562

Ph: (615) 220-8788

Reviews and Comments


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Phone: 931-245-1920    Fax: 931-245-1929

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.