Charles Mitchell Holland, MD in Brookhaven, MS

Charles Mitchell Holland, MD is a medicare enrolled "Pediatrics" physician in Brookhaven, Mississippi. His current practice location is 509 Brookman Dr, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 823-5204.

Charles Mitchell Holland is licensed to practice in Mississippi (license number 11043) 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 1285657916.

Contact Information

	Charles Mitchell Holland, MD
	509 Brookman Dr, Brookhaven, MS 39601-2326
	(601) 823-5204
	(601) 833-1224

Map and Direction

Physician's Profile

Full Name	Charles Mitchell Holland
Gender	Male
Speciality	Pediatrics
Location	509 Brookman Dr, Brookhaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285657916
Provider Enumeration Date: 07/25/2006
Last Update Date: 10/25/2016

Medicare PECOS Information:

PECOS PAC ID: 8527025956
Enrollment ID: I20041216000688

Medical Identifiers

Medical identifiers for Charles Mitchell Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285657916	NPI	-	NPPES
00115067	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	11043 (Mississippi)	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. Charles Mitchell Holland allows following entities to bill medicare on his behalf.

Entity Name	Kings Daughters Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174

Entity Name	Kdmc Physician Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861739161 PECOS PAC ID: 7012154495 Enrollment ID: O20130501000541

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. Charles Mitchell Holland 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
Charles Mitchell Holland, MD 509 Brookman Dr, Brookhaven, MS 39601-2326 Ph: (601) 823-5204	Charles Mitchell Holland, MD 509 Brookman Dr, Brookhaven, MS 39601-2326 Ph: (601) 823-5204

Reviews and Comments

Pediatrics Doctors in Brookhaven, MS

Joshua William Iles, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Brookman Dr, Brookhaven, MS 39601 Phone: 601-823-5204 Fax: 601-833-1224
Timothy Ray Shann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Brookman Dr, Brookhaven, MS 39601 Phone: 601-823-5204 Fax: 601-833-1224
David Steven Braden, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 624 Highway 51 N, Brookhaven, MS 39601 Phone: 601-835-2100 Fax: 601-835-0451

Charles Mitchell Holland, MD - Medicare Pediatrics in Brookhaven, MS