Richard Lee Holladay, CRNA in Longview, TX - Medicare Nurse Anesthetist, Certified Registered

Richard Lee Holladay, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Longview, Texas. His current practice location is 906 Judson Rd, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 655-1313.

Richard Lee Holladay is licensed to practice in Texas (license number 229477) 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 1336189323.

Contact Information

	Richard Lee Holladay, CRNA
	906 Judson Rd, Longview, TX 75601-5113
	(903) 655-1313
	(903) 657-6067

Map and Direction

Provider's Profile

Full Name	Richard Lee Holladay
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	906 Judson Rd, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336189323
Provider Enumeration Date: 06/07/2006
Last Update Date: 03/03/2009

Medicare PECOS Information:

PECOS PAC ID: 8729043492
Enrollment ID: I20041122000748

Medical Identifiers

Medical identifiers for Richard Lee Holladay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336189323	NPI	-	NPPES
109737004	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	29227 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	229477 (Texas)	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. Richard Lee Holladay allows following entities to bill medicare on his behalf.

Entity Name	Christus Good Shepherd Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760908404 PECOS PAC ID: 3779565544 Enrollment ID: O20040604000400

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. Richard Lee Holladay 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
Richard Lee Holladay, CRNA P.o. Box 2527, Longview, TX 75606-2527 Ph: (903) 655-1313	Richard Lee Holladay, CRNA 906 Judson Rd, Longview, TX 75601-5113 Ph: (903) 655-1313

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Longview, TX

William W. Burlingame, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1907 Warwick Circle East, Longview, TX 75601 Phone: 903-757-4453
Richard Klima, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Eric Fernandez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6580 Judson Rd, Longview, TX 75605 Phone: 903-663-3600
Randall Wayne Young, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 906 Judson Rd, Longview, TX 75601 Phone: 903-331-0506 Fax: 903-331-0462
Mark D Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3606 Fax: 903-593-4290
John Ryan Mccubbin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 140 Timber Falls Dr, Longview, TX 75605 Phone: 903-297-8640
Kristy Dupus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6580 Judson Rd, Longview, TX 75605 Phone: 800-939-7440

Richard Lee Holladay, CRNA - Medicare Nurse Anesthetist, Certified Registered in Longview, TX