Dr Tracie Michele Dejarnette-holly, MD - Medicare Psychiatry in San Jose, CA

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Dr Tracie Michele Dejarnette-holly, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in San Jose, California. She went to Meharry Medical College School Of Medicine and graduated in 1991 and has 35 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Progressive Behavioral Health, Pllc and her current practice location is 99 Almaden Blvd Ste 600, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (256) 500-8688.

Dr Tracie Michele Dejarnette-holly is licensed to practice in Texas (license number K9516) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699786681.

Contact Information

Dr Tracie Michele Dejarnette-holly, MD
99 Almaden Blvd Ste 600,
San Jose, CA 95113-1605
(256) 500-8688
Not Available

Map and Direction




Physician's Profile

Full NameDr Tracie Michele Dejarnette-holly
GenderFemale
SpecialityPsychiatry
Experience35 Years
Location99 Almaden Blvd Ste 600, San Jose, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tracie Michele Dejarnette-holly attended and graduated from Meharry Medical College School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1699786681
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 05/01/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5890790109
  • Enrollment ID: I20080227000401

Medical Identifiers

Medical identifiers for Dr Tracie Michele Dejarnette-holly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699786681NPI-NPPES
029799603MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry K9516 (Texas)Primary
2084F0202XPsychiatry & Neurology - Forensic Psychiatry K9516 (Texas)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry K9516 (Texas)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Progressive Behavioral Health, Pllc4486794906393

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. Dr Tracie Michele Dejarnette-holly allows following entities to bill medicare on her behalf.
Entity NameBexar County Board Of Trustees For Mental Health Mental Retardation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730134586
PECOS PAC ID: 5496652760
Enrollment ID: O20031215000906
Entity NameSpindletop Mhmr Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952357550
PECOS PAC ID: 1658268321
Enrollment ID: O20040228000236
Entity NameAustin Travis County Mental Health And Mental Retardation Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750337259
PECOS PAC ID: 9133016306
Enrollment ID: O20040305000036
Entity NameThe Gulf Coast Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245285899
PECOS PAC ID: 6204821895
Enrollment ID: O20040414001641
Entity NameTexana Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912954058
PECOS PAC ID: 7618963265
Enrollment ID: O20040421000535
Entity NameBluebonnet Trails Community Mhmr Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730135864
PECOS PAC ID: 5799775409
Enrollment ID: O20040514000751
Entity NameBurke Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396792420
PECOS PAC ID: 1254312077
Enrollment ID: O20040527000661
Entity NameCamino Real Community Mhmr Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154411262
PECOS PAC ID: 9931183449
Enrollment ID: O20040614001095
Entity NameHelen Farabee Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457479511
PECOS PAC ID: 8729042916
Enrollment ID: O20041117000552
Entity NameHeart Of Texas Region Mhmr Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639399132
PECOS PAC ID: 9830105105
Enrollment ID: O20060223000214
Entity NameProgressive Behavioral Health, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659567238
PECOS PAC ID: 4486794906
Enrollment ID: O20091214000763

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. Dr Tracie Michele Dejarnette-holly 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 AddressPractice Location Address
Dr Tracie Michele Dejarnette-holly, MD
1607 Wood Song Dr,
Sugar Land, TX 77479-6492

Ph: (281) 804-2531		Dr Tracie Michele Dejarnette-holly, MD
99 Almaden Blvd Ste 600,
San Jose, CA 95113-1605

Ph: (256) 500-8688

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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