Dr Samuel Joseph Holdiness, MD is a medicare enrolled "Internal Medicine" physician in Kosciusko, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Premier Medical Group Of Mississippi Llc and his current practice location is
332 Highway 12 W, Kosciusko, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 289-1800.
Dr Samuel Joseph Holdiness is licensed to practice in South Carolina (license number 33717) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942595202.
Physician's Profile
| Full Name | Dr Samuel Joseph Holdiness |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Experience | 13 Years |
|---|
| Location | 332 Highway 12 W, Kosciusko, Mississippi |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Samuel Joseph Holdiness attended and graduated from University Of Mississippi School Of Medicine in 2011
NPI Data:
- NPI Number: 1942595202
- Provider Enumeration Date: 06/15/2011
- Last Update Date: 06/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 8729243084
- Enrollment ID: I20150821014005
Medical Identifiers
Medical identifiers for Dr Samuel Joseph Holdiness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942595202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 33717 (South Carolina) | Primary |
| 208000000X | Pediatrics | 33717 (South Carolina) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Premier Medical Group Of Mississippi Llc | 8729973623 | 27 |
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. Dr Samuel Joseph Holdiness allows following entities to bill medicare on his behalf.
| Entity Name | Premier Medical Group Of Mississippi Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790827038
PECOS PAC ID: 8729973623
Enrollment ID: O20040219000254 |
|---|
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. Dr Samuel Joseph Holdiness 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 |
|---|
Dr Samuel Joseph Holdiness, MD
Po Box 23996,
Jackson, MS 39225-3996
Ph: (601) 206-6100 | Dr Samuel Joseph Holdiness, MD
332 Highway 12 W,
Kosciusko, MS 39090-3209
Ph: (662) 289-1800 |
Reviews and Comments