Mr Richard L Holmes Jr, PA-C is a medicare enrolled "Physician Assistant" physician in Lake Havasu City, Arizona. His current practice location is
1810 Mesquite Ave Ste B, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 453-4600.
Mr Richard L Holmes Jr is licensed to practice in Arizona (license number 7129) 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 1467478396.
Physician's Profile
Full Name | Mr Richard L Holmes Jr |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1810 Mesquite Ave Ste B, Lake Havasu City, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467478396
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 10/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921033903
- Enrollment ID: I20060322000661
Medical Identifiers
Medical identifiers for Mr Richard L Holmes Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467478396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 7129 (Arizona) | Secondary |
363A00000X | Physician Assistant | 7129 (Arizona) | 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 Richard L Holmes 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 |
Mr Richard L Holmes Jr, PA-C 11010 N Desert View Ln, Flagstaff, AZ 86004-1787 Ph: (928) 600-7630 | Mr Richard L Holmes Jr, PA-C 1810 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5886 Ph: (928) 453-4600 |
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