| Dr Richard Phillip Holm, MD | |
|
171 Nc Highway 125, Roanoke Rapids, NC 27870 | |
| (252) 537-5639 | |
| (252) 537-7198 |
| Full Name | Dr Richard Phillip Holm |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 46 Years |
| Location | 171 Nc Highway 125, Roanoke Rapids, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285605642 | NPI | - | NPPES |
| 139AM | Other | NC | BLUE CROSS/ BLUE SHIELD |
| P00670232 | Other | NC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 200401073 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Roanoke Chowan Hospital | Ahoskie, NC | Hospital |
| Halifax Regional Medical Center Inc | Roanoke rapids, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Proactive Therapy Of North Carolina Inc | 6305753120 | 153 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Phillip Holm, MD 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 Ph: (252) 537-5631 | Dr Richard Phillip Holm, MD 171 Nc Highway 125, Roanoke Rapids, NC 27870 Ph: (252) 537-5639 |
Jannat Mujahid Khan, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 171 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 252-537-5631 | |
John Simpson Moss, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 171 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 252-537-5639 Fax: 252-537-7198 | |
Dr. Ganesh Bissram, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 130 Cardinal Dr, Roanoke Rapids, NC 27870 Phone: 252-535-3091 Fax: 252-535-3092 |