Jodie Darlene Holmes, ARNP is a medicare enrolled "Dermatology" in Germantown, Tennessee. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advanced Dermatology And Skin Cancer Associates, Pllc and her current practice location is
7658 Poplar Pike, Advanced Dermatology, Germantown, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(901) 759-2322.
Jodie Darlene Holmes is licensed to practice in Tennessee (license number 26431) 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 1770036337.
Provider's Profile
| Full Name | Jodie Darlene Holmes |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 7658 Poplar Pike, Germantown, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jodie Darlene Holmes graduated from nursing school in 2016
NPI Data:
- NPI Number: 1770036337
- Provider Enumeration Date: 08/01/2016
- Last Update Date: 02/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183910797
- Enrollment ID: I20200210002783
Medical Identifiers
Medical identifiers for Jodie Darlene Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770036337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SF0001X | Clinical Nurse Specialist - Family Health | A116063 (Iowa) | Secondary |
| 207N00000X | Dermatology | 26431 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Dermatology And Skin Cancer Associates, Pllc | 2163501834 | 7 |
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. Jodie Darlene Holmes allows following entities to bill medicare on her behalf.
| Entity Name | The Wootton Clinic And Medical Center, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184812117
PECOS PAC ID: 1052341005
Enrollment ID: O20071214000413 |
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| Entity Name | Advanced Dermatology And Skin Cancer Associates, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265604888
PECOS PAC ID: 2163501834
Enrollment ID: O20080506000665 |
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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. Jodie Darlene 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 |
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Jodie Darlene Holmes, ARNP
5352 Ambassador Ln W, Apt 203,
Arlington, TN 38002-4953
Ph: (319) 327-7188 | Jodie Darlene Holmes, ARNP
7658 Poplar Pike, Advanced Dermatology,
Germantown, TN 38138-3813
Ph: (901) 759-2322 |
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