Holland M Addison, MD - Medicare Internal Medicine in Jackson, MS

Holland M Addison, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Jackson, Mississippi. His current practice location is 4045 Eastwood Dr, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 352-2273.

Holland M Addison is licensed to practice in Mississippi (license number 08984) 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 1396816989.

Contact Information

Holland M Addison, MD
4045 Eastwood Dr,
Jackson, MS 39211-6442
(601) 352-2273
Not Available



Physician's Profile

Full NameHolland M Addison
GenderMale
SpecialityInternal Medicine - Geriatric Medicine
Location4045 Eastwood Dr, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396816989
  • Provider Enumeration Date: 11/13/2006
  • Last Update Date: 06/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3577674464
  • Enrollment ID: I20110520000678

Medical Identifiers

Medical identifiers for Holland M Addison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396816989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 08984 (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. Holland M Addison allows following entities to bill medicare on his behalf.
Entity NameMississippi Baptist Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467589556
PECOS PAC ID: 9234026600
Enrollment ID: O20110707000181

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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. Holland M Addison 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 AddressPractice Location Address
Holland M Addison, MD
4045 Eastwood Dr,
Jackson, MS 39211-6442

Ph: (601) 352-2273
Holland M Addison, MD
4045 Eastwood Dr,
Jackson, MS 39211-6442

Ph: (601) 352-2273

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Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D.
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 406 Briarwood Dr, Jackson, MS 39206
Phone: 601-991-1933    Fax: 601-978-3844
Dr. Rebecca Chick Pace, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202
Phone: 601-352-2273    Fax: 601-714-3415
Jewelian Akbar Baig, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216
Phone: 601-200-4644    Fax: 601-200-4645
Jo P Deal, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 766 Lakeland Dr, A, Jackson, MS 39216
Phone: 601-368-3440    Fax: 601-368-3441
Caryl P. Sumrall, FNP
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2500 North State Street, Department Of Medicine/division Of General Internal Med, Jackson, MS 39216
Phone: 601-984-5660    
Meghan Alford Luter, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5532    
Tammy H Young, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1227 N State St, Ste 101, Jackson, MS 39202
Phone: 601-355-2485    Fax: 601-353-1463

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