Mrs Micheline Costa Holmes, CRNP in Pocomoke City, MD

Mrs Micheline Costa Holmes, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Pocomoke City, Maryland. Her current practice location is 305 10th St Ste 104, Pocomoke City, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 957-0273.

Mrs Micheline Costa Holmes is licensed to practice in Maryland (license number R189395) 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 1205405719.

Contact Information

	Mrs Micheline Costa Holmes, CRNP
	305 10th St Ste 104, Pocomoke City, MD 21851-1607
	(410) 957-0273
	(410) 957-0152

Map and Direction

Provider's Profile

Full Name	Mrs Micheline Costa Holmes
Gender	Female
Speciality	Nurse Practitioner - Family
Location	305 10th St Ste 104, Pocomoke City, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205405719
Provider Enumeration Date: 06/18/2021
Last Update Date: 07/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8921403346
Enrollment ID: I20210824001572

Medical Identifiers

Medical identifiers for Mrs Micheline Costa Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205405719	NPI	-	NPPES
119591300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R189395 (Maryland)	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. Mrs Micheline Costa Holmes allows following entities to bill medicare on her behalf.

Entity Name	Three Lower Counties Community Services Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154354744 PECOS PAC ID: 3678484300 Enrollment ID: O20040324000093

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. Mrs Micheline Costa 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
Mrs Micheline Costa Holmes, CRNP Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015	Mrs Micheline Costa Holmes, CRNP 305 10th St Ste 104, Pocomoke City, MD 21851-1607 Ph: (410) 957-0273

Reviews and Comments

Nurse Practitioner Nurses in Pocomoke City, MD

Christina Hargis, DNP, CRNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Market St Ste 101, Pocomoke City, MD 21851 Phone: 410-957-6622
Mrs. Stephanie Howard Mcfarland, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Market St, Pocomoke City, MD 21851 Phone: 410-957-9488 Fax: 410-957-9680
Ms. Marie Carnes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1817 Old Virginia Rd, Pocomoke City, MD 21851 Phone: 410-651-4040 Fax: 888-843-8455
Ms. Ivanna Harshman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1817 Old Virginia Rd, Pocomoke City, MD 21851 Phone: 410-651-4040 Fax: 888-843-8455
Ms. Sheila Ann Kerpelman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 10th St Ste 104, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152
Mr. Tyler Matthew Rodriguez Lichtenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 10th St Ste 104, Pocomoke City, MD 21851 Phone: 410-957-0273

Mrs Micheline Costa Holmes, CRNP - Medicare Nurse Practitioner in Pocomoke City, MD