Jodie Darlene Holmes, ARNP is a medicare enrolled "Dermatology" in Germantown, Tennessee. Her current practice location is
7658 Poplar Pike, Advanced Dermatology, Germantown, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(901) 759-2322.
Jodie Darlene Holmes is licensed to practice in Tennessee (license number 26431) 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 1770036337.
Provider's Profile
| Full Name | Jodie Darlene Holmes |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 7658 Poplar Pike, Germantown, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770036337
- Provider Enumeration Date: 08/01/2016
- Last Update Date: 02/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183910797
- Enrollment ID: I20200210002783
Medical Identifiers
Medical identifiers for Jodie Darlene Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770036337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SF0001X | Clinical Nurse Specialist - Family Health | A116063 (Iowa) | Secondary |
| 207N00000X | Dermatology | 26431 (Tennessee) | 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. Jodie Darlene Holmes allows following entities to bill medicare on her behalf.
| Entity Name | The Wootton Clinic And Medical Center, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184812117
PECOS PAC ID: 1052341005
Enrollment ID: O20071214000413 |
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| Entity Name | Advanced Dermatology And Skin Cancer Associates, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265604888
PECOS PAC ID: 2163501834
Enrollment ID: O20080506000665 |
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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. Jodie Darlene 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 |
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Jodie Darlene Holmes, ARNP
5352 Ambassador Ln W, Apt 203,
Arlington, TN 38002-4953
Ph: (319) 327-7188 | Jodie Darlene Holmes, ARNP
7658 Poplar Pike, Advanced Dermatology,
Germantown, TN 38138-3813
Ph: (901) 759-2322 |
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