Kyle Dean Holmes, MD is a medicare enrolled "Emergency Medicine" physician in Fairfeild, California. He went to Saint Louis University School Of Medicine and graduated in 1986 and has 39 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Northbay Healthcare Group and his current practice location is
Northbay Medical Center - Fairfield, 1200 B Gale Wilson Blvd, Fairfeild, California. You can reach out to his office (for appointments etc.) via phone at
(707) 429-3600.
Kyle Dean Holmes is licensed to practice in California (license number G77374) 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 1386671832.
Physician's Profile
Full Name | Kyle Dean Holmes |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 39 Years |
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Location | Northbay Medical Center - Fairfield, Fairfeild, California |
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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. |
Medical Education and Training:
- Kyle Dean Holmes attended and graduated from Saint Louis University School Of Medicine in 1986
NPI Data:
- NPI Number: 1386671832
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2961470752
- Enrollment ID: I20040920000829
Medical Identifiers
Medical identifiers for Kyle Dean Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386671832 | NPI | - | NPPES |
00G773741 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | G77374 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northbay Healthcare Group | 0042122244 | 244 |
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. Kyle Dean Holmes allows following entities to bill medicare on his behalf.
Entity Name | Northbay Healthcare Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
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Entity Name | Solano Gateway Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952344293 PECOS PAC ID: 5496725418 Enrollment ID: O20040916001355 |
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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. Kyle Dean 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 |
Kyle Dean Holmes, MD 2613 Caravaggio Pl, Davis, CA 95616-7659 Ph: () - | Kyle Dean Holmes, MD Northbay Medical Center - Fairfield, 1200 B Gale Wilson Blvd, Fairfeild, CA 94533 Ph: (707) 429-3600 |
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