Jacqueline Holder, DO - Medicare Pediatrics in Terre Haute, IN

Jacqueline Holder, DO is a medicare enrolled "Pediatrics" physician in Terre Haute, Indiana. Her current practice location is 221 S 6th St, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 242-3105.

Jacqueline Holder is licensed to practice in Indiana (license number 02002477A) 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 1144338781.

Contact Information

Jacqueline Holder, DO
221 S 6th St,
Terre Haute, IN 47807-4214
(812) 242-3105
(812) 242-3133



Physician's Profile

Full NameJacqueline Holder
GenderFemale
SpecialityPediatrics
Location221 S 6th St, Terre Haute, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144338781
  • Provider Enumeration Date: 08/25/2006
  • Last Update Date: 08/18/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4880687938
  • Enrollment ID: I20040406000125

Medical Identifiers

Medical identifiers for Jacqueline Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144338781NPI-NPPES
000000224510OtherANTHEM
200373360MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 02002477A (Indiana)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. Jacqueline Holder allows following entities to bill medicare on her behalf.
Entity NameUnion Associated Physicians Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891028379
PECOS PAC ID: 3375687437
Enrollment ID: O20100213000002

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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. Jacqueline 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
Jacqueline Holder, DO
221 S 6th St,
Terre Haute, IN 47807-4214

Ph: (812) 242-3105
Jacqueline Holder, DO
221 S 6th St,
Terre Haute, IN 47807-4214

Ph: (812) 242-3105

News Archive

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Report finds increase in occurrence of MRSA bacteria in Denmark

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Pediatrics Doctors in Terre Haute, IN

Dr. Pablito Dela Cruz, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1310 E Davis Dr, Terre Haute, IN 47802
Phone: 812-232-7337    Fax: 812-232-7338
Chandrama Chakrabarti, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4525 Springhill Junction, Terre Haute, IN 47802
Phone: 812-234-6053    Fax: 812-478-3416
Dr. Zenaida M Contreras, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3464 S 4th St, Terre Haute, IN 47802
Phone: 812-234-8117    Fax: 812-234-1894
Trupti A Bhuptani, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4525 Springhill Junction, Terre Haute, IN 47802
Phone: 812-234-6053    Fax: 812-478-3416
Catherine L Brown, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4001 Wabash Ave, Terre Haute, IN 47803
Phone: 812-238-7711    
William Douglas Green, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 221 S 6th St, Terre Haute, IN 47807
Phone: 812-242-3105    Fax: 812-242-3133

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