| Michael Holmes Jr, | |
|
496 Southland Dr, Lexington, KY 40503-1827 | |
| (859) 288-2425 | |
| (859) 721-2572 |
| Full Name | Michael Holmes Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 496 Southland Dr, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962966432 | NPI | - | NPPES |
| 1790731081 | Medicaid | KY | |
| 1114932514 | Medicaid | KY |
| Entity Name | New Vista Of The Bluegrass Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790731081 PECOS PAC ID: 6608773619 Enrollment ID: O20031217000869 |
| Entity Name | Healthfirst Bluegrass Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114932514 PECOS PAC ID: 5890961593 Enrollment ID: O20111230000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Holmes Jr, 496 Southland Dr, Lexington, KY 40503-1827 Ph: (859) 288-2425 | Michael Holmes Jr, 496 Southland Dr, Lexington, KY 40503-1827 Ph: (859) 288-2425 |
Sarah E Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Michael S Stratton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Martin Bennett Hundley, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Southland Dr # 204, Lexington, KY 40503 Phone: 859-278-3456 | |
Tiffany Morgan Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike Bldg 1, Lexington, KY 40511 Phone: 589-253-1686 | |
Teonna Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Mr. Andre Riddick Sr., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1301 Winchester Rd Ste 147, Lexington, KY 40505 Phone: 859-991-0710 Fax: 859-309-1791 | |
Natalie Dev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike Bldg 5, Lexington, KY 40511 Phone: 859-253-1686 |