Victoria Haynes Holt, PA in Olive Branch, MS - Medicare Physician Assistant

Victoria Haynes Holt, PA is a medicare enrolled "Physician Assistant" in Olive Branch, Mississippi. Her current practice location is 5480 Goodman Rd Ste 1, Olive Branch, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 874-6507.

Victoria Haynes Holt is licensed to practice in Mississippi (license number PA00746) 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 1588396378.

Contact Information

	Victoria Haynes Holt, PA
	5480 Goodman Rd Ste 1, Olive Branch, MS 38654-7902
	(662) 874-6507
	(662) 932-8197

Map and Direction

Provider's Profile

Full Name	Victoria Haynes Holt
Gender	Female
Speciality	Physician Assistant
Location	5480 Goodman Rd Ste 1, Olive Branch, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588396378
Provider Enumeration Date: 06/29/2022
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6204281439
Enrollment ID: I20231009001408

Medical Identifiers

Medical identifiers for Victoria Haynes Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588396378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA00746 (Mississippi)	Primary
363A00000X	Physician Assistant	5678 (Tennessee)	Secondary

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. Victoria Haynes Holt 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
Victoria Haynes Holt, PA 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: () -	Victoria Haynes Holt, PA 5480 Goodman Rd Ste 1, Olive Branch, MS 38654-7902 Ph: (662) 874-6507

Reviews and Comments

Physician Assistant Nurses in Olive Branch, MS

Joyce Denice Kildow, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111
Neha Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9000

Victoria Haynes Holt, PA - Medicare Physician Assistant in Olive Branch, MS