Desiree Holley, PA-C - Medicare Physician Assistant in Hemphill, TX

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Desiree Holley, PA-C is a medicare enrolled "Physician Assistant" in Hemphill, Texas. She graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Robert D Kistler Md and her current practice location is 390 Sabine Street, Suite D, Hemphill, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 787-0006.

Desiree Holley is licensed to practice in Texas (license number PA03982) 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 1528110061.

Contact Information

Desiree Holley, PA-C
390 Sabine Street, Suite D,
Hemphill, TX 75948-7065
(409) 787-0006
(409) 787-0008

Map and Direction




Provider's Profile

Full NameDesiree Holley
GenderFemale
SpecialityPhysician Assistant
Experience22 Years
Location390 Sabine Street, Hemphill, Texas
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:
  • Desiree Holley graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1528110061
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 03/23/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1355579095
  • Enrollment ID: I20140102000623

Medical Identifiers

Medical identifiers for Desiree Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528110061NPI-NPPES
335469802MedicaidTX
8283NDOtherBCBS
8285NDOtherTXBCBS
75-1976930-005OtherTXTRICARE
75-2616977-002OtherTXTRICARE
335469801MedicaidTX
75-0818167-015OtherTXTRICARE
75-0818167-022OtherTXTRICARE
75-2616977-001OtherTXTRICARE
75-0818167-044OtherTXTRICARE
335469803MedicaidTX
75-0818167-048OtherTXTRICARE
8286NDOtherTXBCBS
75-2616977-028OtherTXTRICARE
335469804MedicaidTX
8812NFOtherTXBCBS
P01290918OtherTXRAIL ROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA03982 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Jasper Memorial HospitalJasper, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Robert D Kistler Md04466693453

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. Desiree Holley allows following entities to bill medicare on her behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameMother Frances Hospital Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952306672
PECOS PAC ID: 5597751024
Enrollment ID: O20040421001092
Entity NameMother Frances Hospital Regional Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679578439
PECOS PAC ID: 9234025636
Enrollment ID: O20040610001042
Entity NameBaylor St. Luke's Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740485879
PECOS PAC ID: 9133213192
Enrollment ID: O20070920000863
Entity NameAngelina Emergency Medicine Associates PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518397298
PECOS PAC ID: 5395973564
Enrollment ID: O20140115000579
Entity NameRobert D Kistler MD
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932708351
PECOS PAC ID: 0446669345
Enrollment ID: O20210505001955

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. Desiree 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
Desiree Holley, PA-C
390 Sabine Street, Suite D,
Hemphill, TX 75948-7065

Ph: (409) 787-0006		Desiree Holley, PA-C
390 Sabine Street, Suite D,
Hemphill, TX 75948-7065

Ph: (409) 787-0006

Reviews and Comments


Physician Assistant Nurses in Hemphill, TX

Michael Dickinson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2301 Worth St, Hemphill, TX 75948
Phone: 409-787-3300    
Christopher M Melcher, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Worth St, Hemphill, TX 75948
Phone: 409-787-1707    
Chad Michael Moody, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2421 Worth St, Hemphill, TX 75948
Phone: 409-787-1416    Fax: 409-787-1419

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.