Dr Michael Gordon Holder Jr, MD in Jackson, MS

Dr Michael Gordon Holder Jr, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Jackson, Mississippi. His current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-2195.

Dr Michael Gordon Holder Jr is licensed to practice in Nevada (license number 17601) 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 1821016031.

Contact Information

	Dr Michael Gordon Holder Jr, MD
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-2195
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael Gordon Holder Jr
Gender	Male
Speciality	Emergency Medicine - Pediatric Emergency Medicine
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821016031
Provider Enumeration Date: 07/17/2006
Last Update Date: 03/22/2018

Medicare PECOS Information:

PECOS PAC ID: 6204863590
Enrollment ID: I20180410000265

Medical Identifiers

Medical identifiers for Dr Michael Gordon Holder Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821016031	NPI	-	NPPES
04179262	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	56873 (Tennessee)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	35-085978 (Ohio)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	24022 (Mississippi)	Secondary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	17601 (Nevada)	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. Dr Michael Gordon Holder Jr allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997

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. Dr Michael Gordon Holder Jr 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
Dr Michael Gordon Holder Jr, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2195	Dr Michael Gordon Holder Jr, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2195

Reviews and Comments

Emergency Medicine Doctors in Jackson, MS

Laura Elizabeth Vearrier, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005
Dr. Melanie Fox, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Mohsin Saber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 N State St, Department Of Emergency Medicine, Jackson, MS 39201 Phone: 601-984-5582 Fax: 601-984-5583
Dr. Gabriel William Tonkin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N. State St., Dept. Of Emergency Medicine, Jackson, MS 39216 Phone: 601-984-5582
John C Brooks, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-982-6001 Fax: 601-982-8616
Bob Hutchins, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3502 W Northside Dr, Jackson, MS 39213 Phone: 601-362-5321 Fax: 601-364-2600
Lana Ngoc Phan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000

Dr Michael Gordon Holder Jr, MD - Medicare Emergency Medicine in Jackson, MS