Dr Larry Holmes, PHD is a
Psychologist based in Arbor Vitae, Wisconsin. Dr Larry Holmes is licensed to practice in Wisconsin (license number 2535) and his current practice location is
11102 Tuckaway Rd, Arbor Vitae, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 358-5400.
NPI number for Dr Larry Holmes is 1558472183 and his current mailing address is Po Box 1309, Arbor Vitae, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558472183.
Healthcare Provider's Profile
| Full Name | Dr Larry Holmes |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 11102 Tuckaway Rd, Arbor Vitae, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558472183
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 12/22/2010
Medical Identifiers
Medical identifiers for Dr Larry Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558472183 | NPI | - | NPPES |
| WI1253 | Other | WI | MEDICARE PTAN |
| 39148300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 2535 (Wisconsin) | 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. Dr Larry Holmes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Larry Holmes, PHD
Po Box 1309,
Arbor Vitae, WI 54568-1309
Ph: (715) 358-5400 | Dr Larry Holmes, PHD
11102 Tuckaway Rd,
Arbor Vitae, WI 54568-8913
Ph: (715) 358-5400 |
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