Mr Preston Thomas Holifield, FNP-C - Medicare Nurse Practitioner in Jackson, MO

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Mr Preston Thomas Holifield, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Missouri. His current practice location is 2432 E Main St, Jackson, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 755-2305.

Mr Preston Thomas Holifield is licensed to practice in Missouri (license number 2023019957) 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 1982397436.

Contact Information

Mr Preston Thomas Holifield, FNP-C
2432 E Main St,
Jackson, MO 63755-2664
(573) 755-2305
(573) 519-4650

Map and Direction




Provider's Profile

Full NameMr Preston Thomas Holifield
GenderMale
SpecialityNurse Practitioner - Family
Location2432 E Main St, Jackson, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982397436
  • Provider Enumeration Date: 05/31/2023
  • Last Update Date: 05/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517326192
  • Enrollment ID: I20230629001269

Medical Identifiers

Medical identifiers for Mr Preston Thomas Holifield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982397436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2023019957 (Missouri)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. Mr Preston Thomas Holifield allows following entities to bill medicare on his behalf.
Entity NameSoutheast Missouri Hospital Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558311522
PECOS PAC ID: 9133024334
Enrollment ID: O20031201000775
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184658387
PECOS PAC ID: 3274432802
Enrollment ID: O20040102000645
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730238551
PECOS PAC ID: 3274432802
Enrollment ID: O20040310001286
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073587655
PECOS PAC ID: 3274432802
Enrollment ID: O20040312000516
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801817416
PECOS PAC ID: 3274432802
Enrollment ID: O20040617000089
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210212002068

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 Preston Thomas Holifield 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 AddressPractice Location Address
Mr Preston Thomas Holifield, FNP-C
2432 E Main St,
Jackson, MO 63755-2664

Ph: (573) 755-2305		Mr Preston Thomas Holifield, FNP-C
2432 E Main St,
Jackson, MO 63755-2664

Ph: (573) 755-2305

Reviews and Comments


Nurse Practitioner Nurses in Jackson, MO

Ms. Lorilea Johnson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2432 E Main St, Jackson, MO 63755
Phone: 573-755-2305    Fax: 573-519-4650
John Franklin Niswonger, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 861 Canyon Trl, Jackson, MO 63755
Phone: 573-837-2390    
Mary Linda Byndom, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2130 Jackson Ave, Jackson, MO 63755
Phone: 573-243-2154    Fax: 573-243-3400
Danielle Nicole Heath, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 424 Cedar Meadows Dr, Jackson, MO 63755
Phone: 618-499-2289    
Rachael Daume, APRN, AGPCNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2600 E Main St, Jackson, MO 63755
Phone: 573-755-2310    
Crystal Ann Wekenborg, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755
Phone: 573-243-3115    Fax: 573-243-4700
Chelsea Ann Bucher, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755
Phone: 573-243-3115    Fax: 573-243-4700

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.