Brandon Holley, MSPAS, PA-C - Medicare Physician Assistant in Tupelo, MS

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Brandon Holley, MSPAS, PA-C is a medicare enrolled "Physician Assistant" in Tupelo, Mississippi. His current practice location is 2434 S Eason Blvd, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 528-4349.

Brandon Holley is licensed to practice in Mississippi (license number PA00433) 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 1770962698.

Contact Information

Brandon Holley, MSPAS, PA-C
2434 S Eason Blvd,
Tupelo, MS 38804-6942
(662) 528-4349
(662) 680-6416

Map and Direction




Provider's Profile

Full NameBrandon Holley
GenderMale
SpecialityPhysician Assistant
Location2434 S Eason Blvd, Tupelo, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770962698
  • Provider Enumeration Date: 05/26/2015
  • Last Update Date: 09/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5496097925
  • Enrollment ID: I20190501003194

Medical Identifiers

Medical identifiers for Brandon Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770962698NPI-NPPES
00018203MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Tennessee)Secondary
363A00000XPhysician Assistant PA00433 (Mississippi)Primary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary

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. Brandon Holley allows following entities to bill medicare on his behalf.
Entity NameAdvanced Diagnostic Imaging PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677

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. Brandon Holley 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
Brandon Holley, MSPAS, PA-C
2434 S Eason Blvd,
Tupelo, MS 38804-6942

Ph: (662) 640-4595		Brandon Holley, MSPAS, PA-C
2434 S Eason Blvd,
Tupelo, MS 38804-6942

Ph: (662) 528-4349

Reviews and Comments


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Practice Location: 4250 S Eason Blvd, Tupelo, MS 38801
Phone: 662-377-5265    
Matthew Logan Garner, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, 4th Floor East Tower, Tupelo, MS 38801
Phone: 662-377-7100    Fax: 662-377-5736

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.