Mr Holland J Pitre, MD is a
Dermatology physician based in Vicksburg, Mississippi. Mr Holland J Pitre is licensed to practice in Louisiana (license number 12026) and his current practice location is 1202 Mission Park Dr, 1202 Mission Park Dr, Vicksburg, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 415-6089.
NPI number for Mr Holland J Pitre is 1467418152 and his current mailing address is 1202 Mission Park Dr, 1202 Mission Park Dr, Vicksburg, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467418152.
Physician's Profile
| Full Name | Mr Holland J Pitre |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 1202 Mission Park Dr, Vicksburg, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467418152
- Provider Enumeration Date: 04/22/2006
- Last Update Date: 08/30/2013
Medical Identifiers
Medical identifiers for Mr Holland J Pitre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467418152 | NPI | - | NPPES |
| 1095303 | Medicaid | LA | |
| 3021079461 | Other | MS | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 12026 (Louisiana) | Primary |
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. Mr Holland J Pitre is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Holland J Pitre, MD
1202 Mission Park Dr, 1202 Mission Park Dr,
Vicksburg, MS 39180-3758
Ph: (601) 415-6089 | Mr Holland J Pitre, MD
1202 Mission Park Dr, 1202 Mission Park Dr,
Vicksburg, MS 39180-3758
Ph: (601) 415-6089 |
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