Jonathan Michael Holmes, MD in Mobile, AL

Jonathan Michael Holmes, MD is a medicare enrolled "Pediatrics" physician in Mobile, Alabama. His current practice location is 610 Providence Park Dr E, Ste. 201, Mobile, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 639-1300.

Jonathan Michael Holmes is licensed to practice in Alabama (license number 34513) 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 1063770709.

Contact Information

	Jonathan Michael Holmes, MD
	610 Providence Park Dr E, Ste. 201, Mobile, AL 36695-4622
	(251) 639-1300
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan Michael Holmes
Gender	Male
Speciality	Pediatrics
Location	610 Providence Park Dr E, Mobile, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063770709
Provider Enumeration Date: 05/01/2012
Last Update Date: 09/24/2019

Medicare PECOS Information:

PECOS PAC ID: 6204076821
Enrollment ID: I20180803002993

Medical Identifiers

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

Identifier	Type	State	Issuer
1063770709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	34513 (Alabama)	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. Jonathan Michael Holmes allows following entities to bill medicare on his behalf.

Entity Name	University Of South Alabama
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773

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. Jonathan Michael 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
Jonathan Michael Holmes, MD 610 Providence Park Dr E, Ste. 201, Mobile, AL 36695-4622 Ph: (251) 639-1300	Jonathan Michael Holmes, MD 610 Providence Park Dr E, Ste. 201, Mobile, AL 36695-4622 Ph: (251) 639-1300

Reviews and Comments

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Mrs. Robin C Mcnair, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3719 Dauphin St, Ste 102, Mobile, AL 36608 Phone: 251-344-1502 Fax: 251-342-1116
Daniel T Mccall Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 248 Cox St, Suite A, Mobile, AL 36604 Phone: 251-405-4524 Fax: 251-405-4521
Dr. Stephanie Jeanine Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Center St, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-415-8578

Jonathan Michael Holmes, MD - Medicare Pediatrics in Mobile, AL