Dr Brent J Holleran, MD in Bonita Springs, FL - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Dr Brent J Holleran, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Bonita Springs, Florida. His current practice location is 26240 Mira Way, Bonita Springs, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 498-7852.

Dr Brent J Holleran is licensed to practice in Indiana (license number 01028032A) 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 1710148382.

Contact Information

	Dr Brent J Holleran, MD
	26240 Mira Way, Bonita Springs, FL 34134-1637
	(239) 498-7852
	Not Available

Physician's Profile

Full Name	Dr Brent J Holleran
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	26240 Mira Way, Bonita Springs, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710148382
Provider Enumeration Date: 06/17/2008
Last Update Date: 06/17/2008

Medicare PECOS Information:

PECOS PAC ID: 0042512659
Enrollment ID: I20160113000926

Medical Identifiers

Medical identifiers for Dr Brent J Holleran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710148382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	01028032A (Indiana)	Primary

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 Brent J Holleran 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
Dr Brent J Holleran, MD 26240 Mira Way, Bonita Springs, FL 34134-1637 Ph: (239) 498-7852	Dr Brent J Holleran, MD 26240 Mira Way, Bonita Springs, FL 34134-1637 Ph: (239) 498-7852

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Dr Brent J Holleran, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bonita Springs, FL