| Mr Douglas P Holmes Jr, CRNA | |
|
1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | |
| (870) 816-3780 | |
| (901) 261-2542 |
| Full Name | Mr Douglas P Holmes Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 1801 Martin Luther King Jr Dr, Helena, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407883721 | NPI | - | NPPES |
| 1407883721 | Other | AR | ARKANSAS BLUE CROSS BLUE SHIELD |
| 12605613 | Other | AR | CAQH PROVIDER NUMBER |
| 1407883721 | Other | AR | BAPTIST HEALTH SERVICES GROUP, INC. |
| 134707701 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R043168 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C001100 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| White County Medical Center | Searcy, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia And Pain Management Assoc., P.a. | 1456240209 | 12 |
| Entity Name | Anesthesia And Pain Management Assoc., P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689621245 PECOS PAC ID: 1456240209 Enrollment ID: O20040311000582 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20200218000624 |
| Entity Name | Rural Health Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265039556 PECOS PAC ID: 8921410341 Enrollment ID: O20220121002281 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas P Holmes Jr, CRNA Po Box 771522, Memphis, TN 38177-1522 Ph: (901) 747-4624 | Mr Douglas P Holmes Jr, CRNA 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 Ph: (870) 816-3780 |
Arthur Houston Burns, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 Martin Luther King Jr Dr, Helena, AR 72342 Phone: 870-816-3780 Fax: 870-816-3909 | |
Scott C Gentry, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 Martin Luther King Jr Dr, Helena, AR 72342 Phone: 870-338-5800 |