Brandon Holley, MSPAS, PA-C is a medicare enrolled "Physician Assistant" provider in Tupelo, Mississippi. He graduated from healthcare school in 2018 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northeast Mental Health-mental Retardation Commission and his current practice location is
2434 S Eason Blvd, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 528-4349.
Brandon Holley is licensed to practice in Mississippi (license number PA00433) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770962698.
Healthcare Provider's Profile
| Full Name | Brandon Holley |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 2434 S Eason Blvd, Tupelo, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brandon Holley graduated from medical school in 2018
NPI Data:
- NPI Number: 1770962698
- Provider Enumeration Date: 05/26/2015
- Last Update Date: 09/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 5496097925
- Enrollment ID: I20191001001315
Medical Identifiers
Medical identifiers for Brandon Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770962698 | NPI | - | NPPES |
| 00018203 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | PA00433 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northeast Mental Health-mental Retardation Commission | 5193611747 | 11 |
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. Brandon Holley 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 |
|---|
Brandon Holley, MSPAS, PA-C
2434 S Eason Blvd,
Tupelo, MS 38804-6942
Ph: (662) 640-4595 | Brandon Holley, MSPAS, PA-C
2434 S Eason Blvd,
Tupelo, MS 38804-6942
Ph: (662) 528-4349 |
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