Stacey Holder, MD in Longview, TX - Medicare Internal Medicine

Stacey Holder, MD is a medicare enrolled "Internal Medicine" physician in Longview, Texas. Her current practice location is 5016 Gilmer Rd, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 553-0035.

Stacey Holder is licensed to practice in Texas (license number K6764) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891820353.

Contact Information

	Stacey Holder, MD
	5016 Gilmer Rd, Longview, TX 75604-9666
	(903) 553-0035
	(903) 553-0065

Map and Direction

Physician's Profile

Full Name	Stacey Holder
Gender	Female
Speciality	Internal Medicine
Location	5016 Gilmer Rd, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891820353
Provider Enumeration Date: 02/23/2007
Last Update Date: 01/23/2012

Medicare PECOS Information:

PECOS PAC ID: 7214912609
Enrollment ID: I20040621000875

Medical Identifiers

Medical identifiers for Stacey Holder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891820353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	K6764 (Texas)	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. Stacey Holder allows following entities to bill medicare on her behalf.

Entity Name	Texas Palliative Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174771554 PECOS PAC ID: 2062691223 Enrollment ID: O20110120000754

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. Stacey Holder 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
Stacey Holder, MD 5016 Gilmer Rd, Longview, TX 75604-9666 Ph: (903) 553-0035	Stacey Holder, MD 5016 Gilmer Rd, Longview, TX 75604-9666 Ph: (903) 553-0035

Reviews and Comments

Internal Medicine Doctors in Longview, TX

Zehra Hussain, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Dr. Stanislav Weiner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 5008, Longview, TX 75601 Phone: 903-315-4880
John Odneal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-5171 Fax: 903-315-1888
Kayvan Kamali, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Judson Rd, Longview, TX 75601 Phone: 903-236-7020 Fax: 903-236-7093
Yashashree A Vegi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Dr. Samir V Germanwala, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 Hollybrook Dr, Suite 2301, Longview, TX 75605 Phone: 903-757-4691 Fax: 903-757-4875
Monica Mutyala, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000

Stacey Holder, MD - Medicare Internal Medicine in Longview, TX