Mickel A Holman, PA is a medicare enrolled "Physician Assistant" in Mer Rouge, Louisiana. His current practice location is
207 Davenport, Mer Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 647-3412.
Mickel A Holman is licensed to practice in Louisiana (license number PA200114) 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 1508932450.
Provider's Profile
| Full Name | Mickel A Holman |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 207 Davenport, Mer Rouge, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508932450
- Provider Enumeration Date: 11/24/2006
- Last Update Date: 02/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 6204837677
- Enrollment ID: I20070127000020
Medical Identifiers
Medical identifiers for Mickel A Holman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508932450 | NPI | - | NPPES |
| PA.200114 | Other | LA | LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA200114 (Louisiana) | Primary |
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. Mickel A Holman 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 |
Mickel A Holman, PA Po Box 4522, Monroe, LA 71211-4522 Ph: (318) 518-8499 | Mickel A Holman, PA 207 Davenport, Mer Rouge, LA 71261 Ph: (318) 647-3412 |
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