Brendon John Holmes, DO in Hurricane, UT

Brendon John Holmes, DO is a medicare enrolled "Pediatrics" physician in Hurricane, Utah. His current practice location is 75 N 2260 W, Hurricane, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 635-6500.

Brendon John Holmes is licensed to practice in Utah (license number 9209273-1204) 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 1780946905.

Contact Information

	Brendon John Holmes, DO
	75 N 2260 W, Hurricane, UT 84737-2034
	(435) 635-6500
	Not Available

Map and Direction

Physician's Profile

Full Name	Brendon John Holmes
Gender	Male
Speciality	Pediatrics
Location	75 N 2260 W, Hurricane, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780946905
Provider Enumeration Date: 06/13/2012
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 2567783616
Enrollment ID: I20150602001181

Medical Identifiers

Medical identifiers for Brendon John Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780946905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	9209273-1204 (Utah)	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. Brendon John Holmes allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Brendon John Holmes 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
Brendon John Holmes, DO 75 North 2260 West, Hurricane, UT 84737-2326 Ph: (435) 635-6500	Brendon John Holmes, DO 75 N 2260 W, Hurricane, UT 84737-2034 Ph: (435) 635-6500

Brendon John Holmes, DO - Medicare Pediatrics in Hurricane, UT