Mickel A Holman, PA is a medicare enrolled "Physician Assistant" in Mer Rouge, Louisiana. He graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sterlington Critical Access Hospital Llc and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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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| Experience | 20 Years |
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| Location | 207 Davenport, Mer Rouge, Louisiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mickel A Holman graduated from nursing school in 2006
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sterlington Critical Access Hospital Llc | 4486652385 | 12 |
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. Mickel A Holman allows following entities to bill medicare on his behalf.
| Entity Name | Sterlington Critical Access Hospital LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679935928 PECOS PAC ID: 4486652385 Enrollment ID: O20130520000548 |
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| Entity Name | St Francis Urgent Care LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194104513 PECOS PAC ID: 6608181516 Enrollment ID: O20150820010652 |
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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. 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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