Mr Reid Andrew Holly, PMHNP-BC in Oxford, MS - Medicare Nurse Practitioner

Mr Reid Andrew Holly, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Oxford, Mississippi. His current practice location is 2889 S Lamar Blvd, Oxford, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 272-1001.

Mr Reid Andrew Holly is licensed to practice in Mississippi (license number 905504) 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 1407576382.

Contact Information

	Mr Reid Andrew Holly, PMHNP-BC
	2889 S Lamar Blvd, Oxford, MS 38655-5433
	(662) 272-1001
	(866) 228-7940

Map and Direction

Provider's Profile

Full Name	Mr Reid Andrew Holly
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2889 S Lamar Blvd, Oxford, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407576382
Provider Enumeration Date: 08/31/2022
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 5890165914
Enrollment ID: I20230106001360

Medical Identifiers

Medical identifiers for Mr Reid Andrew Holly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407576382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	905504 (Mississippi)	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. Mr Reid Andrew Holly allows following entities to bill medicare on his behalf.

Entity Name	Tmk Enterprises
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184251795 PECOS PAC ID: 1254760341 Enrollment ID: O20200413000974

Entity Name	Rh Arise Venture Of Tupelo Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124776067 PECOS PAC ID: 2567840309 Enrollment ID: O20220607000571

Entity Name	Rh Arise Of Oxford, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477254332 PECOS PAC ID: 4587100615 Enrollment ID: O20240724003401

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. Mr Reid Andrew Holly 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
Mr Reid Andrew Holly, PMHNP-BC 4 County Road 3012, Water Valley, MS 38965-3891 Ph: (601) 331-3295	Mr Reid Andrew Holly, PMHNP-BC 2889 S Lamar Blvd, Oxford, MS 38655-5433 Ph: (662) 272-1001

Reviews and Comments

Nurse Practitioner Nurses in Oxford, MS

Mrs. Rachel Jamison Sledge, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Belk Blvd, Oxford, MS 38655 Phone: 662-234-1090 Fax: 662-234-0432
Shavonne Bridgette Doyle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2908 S Lamar Blvd Ste 100, Oxford, MS 38655 Phone: 662-281-0112
Kathryn B Elliott, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551 Azalea Dr, Oxford, MS 38655 Phone: 662-234-0332 Fax: 662-234-2891
Katherine Waters Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Baptist Memorial Cir Ste 120, Oxford, MS 38655 Phone: 662-244-2288 Fax: 662-636-2285
Casey Tramel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2706 W Oxford Loop Ste 105, Oxford, MS 38655 Phone: 662-550-4250
Kimberly Anne Schweigart, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Sisk Ave, Oxford, MS 38655 Phone: 662-638-1002
Olivia Babb Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2706 W Oxford Loop Ste 105, Oxford, MS 38655 Phone: 662-550-4250 Fax: 662-550-4612

Mr Reid Andrew Holly, PMHNP-BC - Medicare Nurse Practitioner in Oxford, MS