Kyle Dean Holmes, MD is a medicare enrolled "Emergency Medicine" physician in Fairfeild, California. His current practice location is
Northbay Medical Center - Fairfield, 1200 B Gale Wilson Blvd, Fairfeild, California. You can reach out to his office (for appointments etc.) via phone at
(707) 429-3600.
Kyle Dean Holmes is licensed to practice in California (license number G77374) 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 1386671832.
Physician's Profile
| Full Name | Kyle Dean Holmes |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | Northbay Medical Center - Fairfield, Fairfeild, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386671832
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2961470752
- Enrollment ID: I20040920000829
Medical Identifiers
Medical identifiers for Kyle Dean Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386671832 | NPI | - | NPPES |
| 00G773741 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | G77374 (California) | 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. Kyle Dean Holmes allows following entities to bill medicare on his behalf.
| Entity Name | Northbay Physicians Surgery Center, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
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| Entity Name | Solano Gateway Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952344293 PECOS PAC ID: 5496725418 Enrollment ID: O20040916001355 |
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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. Kyle Dean 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 |
Kyle Dean Holmes, MD 2613 Caravaggio Pl, Davis, CA 95616-7659 Ph: Not Available | Kyle Dean Holmes, MD Northbay Medical Center - Fairfield, 1200 B Gale Wilson Blvd, Fairfeild, CA 94533 Ph: (707) 429-3600 |
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