Doris Glenda Holliday, in Magnolia, MS - Medicare Nurse Practitioner

Doris Glenda Holliday, is a medicare enrolled "Nurse Practitioner" in Magnolia, Mississippi. Her current practice location is 111 Magnolia St, Magnolia, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 783-2374.

Doris Glenda Holliday is licensed to practice in Mississippi (license number 905158) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083368880.

Contact Information

	Doris Glenda Holliday,
	111 Magnolia St, Magnolia, MS 39652-2825
	(601) 783-2374
	Not Available

Map and Direction

Provider's Profile

Full Name	Doris Glenda Holliday
Gender	Female
Speciality	Nurse Practitioner
Location	111 Magnolia St, Magnolia, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083368880
Provider Enumeration Date: 02/10/2022
Last Update Date: 02/19/2022

Medicare PECOS Information:

PECOS PAC ID: 2769876085
Enrollment ID: I20220303000430

Medical Identifiers

Medical identifiers for Doris Glenda Holliday such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083368880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	905158 (Mississippi)	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. Doris Glenda Holliday allows following entities to bill medicare on her behalf.

Entity Name	Lampton Medical Asscoiates, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003216516 PECOS PAC ID: 5294059051 Enrollment ID: O20150127000565

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. Doris Glenda Holliday 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
Doris Glenda Holliday, 1177 Irma Dr, Magnolia, MS 39652-9123 Ph: (601) 730-1164	Doris Glenda Holliday, 111 Magnolia St, Magnolia, MS 39652-2825 Ph: (601) 783-2374

Reviews and Comments

Nurse Practitioner Nurses in Magnolia, MS

Alisa Britney Kelley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Myrtle St, Magnolia, MS 39652 Phone: 601-869-7330 Fax: 601-783-5812
Sharee Nobles, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Magnolia St, Magnolia, MS 39652 Phone: 601-783-2374
Mrs. Lindsey Joan Nobles, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Magnolia St, Magnolia, MS 39652 Phone: 601-783-2374
Mrs. Angela Francshon Lofton-varnado, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Magnolia St, Magnolia, MS 39652 Phone: 601-783-2374 Fax: 601-783-5126
Rebecca Ann Rayborn, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E Myrtle St, Magnolia, MS 39652 Phone: 601-869-7330 Fax: 601-783-5812
Chelsea Brooks, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Magnolia St, Magnolia, MS 39652 Phone: 601-783-2374 Fax: 601-783-5126

Doris Glenda Holliday, - Medicare Nurse Practitioner in Magnolia, MS