Miss Holly Kidd, DO - Medicare Internal Medicine in Ruston, LA

Miss Holly Kidd, DO is a medicare enrolled "Internal Medicine" physician in Ruston, Louisiana. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Green Clinic Llc and her current practice location is 1200 S Farmerville St, Ruston, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 255-3690.

Miss Holly Kidd is licensed to practice in Louisiana (license number 12804R) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376513788.

Contact Information

Miss Holly Kidd, DO
1200 S Farmerville St,
Ruston, LA 71270-5941
(318) 255-3690
Not Available



Physician's Profile

Full NameMiss Holly Kidd
GenderFemale
SpecialityInternal Medicine
Experience29 Years
Location1200 S Farmerville St, Ruston, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Holly Kidd graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1376513788
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 10/15/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0547340176
  • Enrollment ID: I20100831000760

Medical Identifiers

Medical identifiers for Miss Holly Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376513788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 12804R (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Green Clinic Llc478966883155

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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. Miss Holly Kidd allows following entities to bill medicare on her behalf.
Entity NameGreen Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831178755
PECOS PAC ID: 4789668831
Enrollment ID: O20040616000177

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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. Miss Holly Kidd 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
Miss Holly Kidd, DO
1200 S Farmerville St,
Ruston, LA 71270-5941

Ph: (318) 255-3690
Miss Holly Kidd, DO
1200 S Farmerville St,
Ruston, LA 71270-5941

Ph: (318) 255-3690

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Internal Medicine Doctors in Ruston, LA

Mr. George B Smith, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Farmerville St, Ruston, LA 71270
Phone: 318-255-3690    
Mr. Mark Blackwelder, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Farmerville St, Ruston, LA 71270
Phone: 318-255-3690    
Ofundem Rose Gwan, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1406 S Vienna St, Ruston, LA 71270
Phone: 318-232-2456    Fax: 318-232-2457
Elvin Gregory Tubre, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Farmerville St, Ruston, LA 71270
Phone: 318-251-6390    Fax: 318-251-6390
Sedo Tamakloe, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Farmerville St, Ruston, LA 71270
Phone: 318-255-3690    
Dr. Martina Abena Tamakloe, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Vaughn Ave, Ruston, LA 71270
Phone: 318-254-2100    

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