Kiyo Phenique Holmes, FNP-C in Greenville, MS

Kiyo Phenique Holmes, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Greenville, Mississippi. Her current practice location is 2363 Highway 1 S, Greenville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 334-1253.

Kiyo Phenique Holmes is licensed to practice in Mississippi (license number R872814) 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 1770864613.

Contact Information

	Kiyo Phenique Holmes, FNP-C
	2363 Highway 1 S, Greenville, MS 38701-8337
	(662) 334-1253
	Not Available

Map and Direction

Provider's Profile

Full Name	Kiyo Phenique Holmes
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2363 Highway 1 S, Greenville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770864613
Provider Enumeration Date: 09/06/2011
Last Update Date: 10/24/2019

Medicare PECOS Information:

PECOS PAC ID: 0446427512
Enrollment ID: I20120113000344

Medical Identifiers

Medical identifiers for Kiyo Phenique Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770864613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R872814 (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. Kiyo Phenique Holmes allows following entities to bill medicare on her behalf.

Entity Name	Delta Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

Entity Name	App Of Mississippi Ed Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534

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. Kiyo Phenique 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
Kiyo Phenique Holmes, FNP-C 30 Burton Hills Blvd, Ste 175, Nashville, TN 37215-6403 Ph: (615) 988-2014	Kiyo Phenique Holmes, FNP-C 2363 Highway 1 S, Greenville, MS 38701-8337 Ph: (662) 334-1253

Reviews and Comments

Nurse Practitioner Nurses in Greenville, MS

Mrs. Chasity Ann Sheppeard, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Highway 1 S Ste A, Greenville, MS 38701 Phone: 623-351-1103 Fax: 662-335-8746
Kristen Cassidy Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-355-4105
James A Ray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783
Ms. Marilyn D Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 129 E Starling St Ste A, Greenville, MS 38701 Phone: 662-378-8868 Fax: 662-378-8462
Mrs. Tammy White Burton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1462 Highway 1 S, Greenville, MS 38701 Phone: 662-702-5121
Barbara P Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 344 Arnold Ave, Greenville, MS 38701 Phone: 662-344-9100 Fax: 662-344-9120
Marshalvia Bryant, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1221 E Union St, Greenville, MS 38703 Phone: 731-394-1145

Kiyo Phenique Holmes, FNP-C - Medicare Nurse Practitioner in Greenville, MS