Jeffery Michael Holton, MD in Dearborn, MI - Medicare Radiology

Jeffery Michael Holton, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Dearborn, Michigan. His current practice location is 18101 Oakwood Blvd, Gme Office, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 593-7000.

Jeffery Michael Holton is licensed to practice in Michigan (license number 4351046328) 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 1043830797.

Contact Information

	Jeffery Michael Holton, MD
	18101 Oakwood Blvd, Gme Office, Dearborn, MI 48124-4089
	(313) 593-7000
	Not Available

Physician's Profile

Full Name	Jeffery Michael Holton
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	18101 Oakwood Blvd, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043830797
Provider Enumeration Date: 04/23/2020
Last Update Date: 04/23/2020

Medicare PECOS Information:

PECOS PAC ID: 9436589736
Enrollment ID: I20200429002042

Medical Identifiers

Medical identifiers for Jeffery Michael Holton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043830797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4351046328 (Michigan)	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. Jeffery Michael Holton 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
Jeffery Michael Holton, MD Gme Office, 18101 Oakwood Blvd, Dearborn, MI 48124 Ph: () -	Jeffery Michael Holton, MD 18101 Oakwood Blvd, Gme Office, Dearborn, MI 48124-4089 Ph: (313) 593-7000

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Radiology Doctors in Dearborn, MI

Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000
Joon K Kim, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660
Dr. Michael Walter Ramalia Jr., DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000

Jeffery Michael Holton, MD - Medicare Radiology in Dearborn, MI