Sandra Holmes, PHD in Tupelo, MS - Medicare Counselor Provider

Sandra Holmes, PHD is a medicare enrolled "Counselor - Professional" provider in Tupelo, Mississippi. Her current practice location is 4579 S Eason Blvd, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 377-3161.

Sandra Holmes is licensed to practice in Mississippi (license number 0377) 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 1649890336.

Contact Information

	Sandra Holmes, PHD
	4579 S Eason Blvd, Tupelo, MS 38801-6539
	(662) 377-3161
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sandra Holmes
Gender	Female
Speciality	Counselor - Professional
Location	4579 S Eason Blvd, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649890336
Provider Enumeration Date: 04/22/2020
Last Update Date: 04/22/2020

Medicare PECOS Information:

PECOS PAC ID: 5698119022
Enrollment ID: I20240214000235

Medical Identifiers

Medical identifiers for Sandra Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649890336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0377 (Mississippi)	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. Sandra Holmes allows following entities to bill medicare on her behalf.

Entity Name	North Mississippi Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541

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. Sandra Holmes 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
Sandra Holmes, PHD 450 E President Ave, Tupelo, MS 38801-5599 Ph: (662) 377-3204	Sandra Holmes, PHD 4579 S Eason Blvd, Tupelo, MS 38801-6539 Ph: (662) 377-3161

Reviews and Comments

Counselor in Tupelo, MS

Tiffany Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 Fax: 662-680-6416
Alyssa Bridges, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Caitlyn Bouldin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Kayla Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-810-4125
Keyaira Standifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Mrs. Dorothy Elder Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: Region Iii Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804 Phone: 662-844-1717 Fax: 662-680-6416
Mr. Richard Eugene Dunnam, NCAC II, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Boone St, Tupelo, MS 38804 Phone: 662-844-3531 Fax: 662-844-1757

Sandra Holmes, PHD - Medicare Counselor in Tupelo, MS