Charles W Holley Jr, MD - Medicare Thoracic Surgery in Danville, KY

Charles W Holley Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Danville, Kentucky. He went to Vanderbilt University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Ephraim Mcdowell Health Resource Inc and his current practice location is 216 W Walnut St Ste A, Danville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 239-5870.

Charles W Holley Jr is licensed to practice in Kentucky (license number 55882) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598737728.

Contact Information

Charles W Holley Jr, MD
216 W Walnut St Ste A,
Danville, KY 40422-1832
(859) 239-5870
Not Available



Physician's Profile

Full NameCharles W Holley Jr
GenderMale
SpecialityThoracic Surgery
Experience39 Years
Location216 W Walnut St Ste A, Danville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles W Holley Jr attended and graduated from Vanderbilt University School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1598737728
  • Provider Enumeration Date: 02/02/2006
  • Last Update Date: 10/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951387109
  • Enrollment ID: I20211029000718

Medical Identifiers

Medical identifiers for Charles W Holley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598737728NPI-NPPES
GA1807MedicaidSC
000707836OMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 39268 (South Carolina)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 041833 (Georgia)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 55882 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ephraim Mcdowell Regional Medical CenterDanville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ephraim Mcdowell Health Resource Inc7517876956115

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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. Charles W Holley Jr allows following entities to bill medicare on his behalf.
Entity NameEphraim Mcdowell Health Resource Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487708533
PECOS PAC ID: 7517876956
Enrollment ID: O20031218000776

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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. Charles W Holley Jr 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
Charles W Holley Jr, MD
Po Box 990,
Danville, KY 40423-0990

Ph: (859) 239-5870
Charles W Holley Jr, MD
216 W Walnut St Ste A,
Danville, KY 40422-1832

Ph: (859) 239-5870

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Danville, KY


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