Jennifer Samples Holl, MD - Medicare Colorectal Surgery (proctology) in Sarasota, FL

Jennifer Samples Holl, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Sarasota, Florida. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Smh Physician Services Inc and her current practice location is 1921 Waldemere St, Sarasota, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 261-1400.

Jennifer Samples Holl is licensed to practice in Florida (license number ME162888) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336460922.

Contact Information

Jennifer Samples Holl, MD
1921 Waldemere St,
Sarasota, FL 34239-2943
(941) 261-1400
(941) 308-8420



Physician's Profile

Full NameJennifer Samples Holl
GenderFemale
SpecialityColorectal Surgery (proctology)
Experience14 Years
Location1921 Waldemere St, Sarasota, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Samples Holl graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1336460922
  • Provider Enumeration Date: 06/17/2010
  • Last Update Date: 06/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870717085
  • Enrollment ID: I20230622000363

Medical Identifiers

Medical identifiers for Jennifer Samples Holl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336460922NPI-NPPES
1336460922MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2018-01719 (North Carolina)Secondary
208C00000XColon & Rectal Surgery ME162888 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sarasota Memorial HospitalSarasota, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smh Physician Services Inc1355240177592

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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. Jennifer Samples Holl allows following entities to bill medicare on her behalf.
Entity NameSmh Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346295292
PECOS PAC ID: 1355240177
Enrollment ID: O20031231000211

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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. Jennifer Samples Holl 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
Jennifer Samples Holl, MD
Po Box 947407,
Atlanta, GA 30394-7407

Ph: (941) 917-2600
Jennifer Samples Holl, MD
1921 Waldemere St,
Sarasota, FL 34239-2943

Ph: (941) 261-1400

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When Christian Earl was six weeks old, his mother did not think his eyes looked right, so she took him to Loyola University Medical Center for an evaluation.

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