Ms Ronnita Evette Holden, PA-C is a medicare enrolled "Physician Assistant" in Cameron, North Carolina. Her current practice location is
181 Mittie Haddock Dr, Cameron, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 842-5566.
Ms Ronnita Evette Holden is licensed to practice in North Carolina (license number 0010-00759) 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 1063487890.
Provider's Profile
| Full Name | Ms Ronnita Evette Holden |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 181 Mittie Haddock Dr, Cameron, North Carolina |
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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: 1063487890
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 10/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466774104
- Enrollment ID: I20141208000735
Medical Identifiers
Medical identifiers for Ms Ronnita Evette Holden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063487890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | C5-0000456 (Delaware) | Secondary |
| 363A00000X | Physician Assistant | 0110001887 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | C0002942 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | 0010-00759 (North Carolina) | 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. Ms Ronnita Evette Holden 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 |
|---|
Ms Ronnita Evette Holden, PA-C
55 Westover Ct,
Sanford, NC 27332-0605
Ph: (919) 935-0939 | Ms Ronnita Evette Holden, PA-C
181 Mittie Haddock Dr,
Cameron, NC 28326-9379
Ph: (919) 842-5566 |
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