Dr Tara Ashley Holland, MD - Medicare Pediatrics in Bossier City, LA

Dr Tara Ashley Holland, MD is a medicare enrolled "Pediatrics" physician in Bossier City, Louisiana. Her current practice location is 1514 Doctors Dr, Bossier City, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 549-2500.

Dr Tara Ashley Holland is licensed to practice in Louisiana (license number MD.208054) 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 1639435233.

Contact Information

Dr Tara Ashley Holland, MD
1514 Doctors Dr,
Bossier City, LA 71111-3379
(318) 549-2500
(318) 741-8175



Physician's Profile

Full NameDr Tara Ashley Holland
GenderFemale
SpecialityPediatrics
Location1514 Doctors Dr, Bossier City, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639435233
  • Provider Enumeration Date: 04/09/2012
  • Last Update Date: 12/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850600248
  • Enrollment ID: I20151026002629

Medical Identifiers

Medical identifiers for Dr Tara Ashley Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639435233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD.208054 (Louisiana)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 Tara Ashley Holland allows following entities to bill medicare on her behalf.
Entity NameDavid Raines Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215933254
PECOS PAC ID: 4688586118
Enrollment ID: O20041007000508

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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. Dr Tara Ashley Holland 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 Tara Ashley Holland, MD
3041 Martin Luther King Drive,
Shreveport, LA 71107-4705

Ph: (318) 227-3350
Dr Tara Ashley Holland, MD
1514 Doctors Dr,
Bossier City, LA 71111-3379

Ph: (318) 549-2500

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Pediatrics Doctors in Bossier City, LA

Mandhar R. Manchandia, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2706 Shed Rd, Bossier City, LA 71111
Phone: 318-747-5272    Fax: 318-746-9669
Dr. Zack G Sanders, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Hospital Dr, Ste 120, Bossier City, LA 71111
Phone: 318-742-6710    Fax: 318-747-5393
Randall Glen White Jr., MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2300 Hospital Dr Ste 120, Bossier City, LA 71111
Phone: 318-212-7982    Fax: 318-212-7989
Quynh Tran Dang, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2300 Hospital Dr Ste 340, Bossier City, LA 71111
Phone: 318-212-7883    Fax: 318-212-7885
Dr. Jacqueline J Gray, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2300 Hospital Dr Ste 420, Bossier City, LA 71111
Phone: 318-212-7880    
Jennifer Kelley, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Hospital Dr Ste 300, Bossier City, LA 71111
Phone: 318-212-7793    Fax: 318-212-7795
Dr. Robert Borden Wilson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2300 Hospital Dr Ste 120, Bossier City, LA 71111
Phone: 318-212-7982    Fax: 318-212-7989

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