Mr Holland J Pitre, MD in Vicksburg, MS - Dermatology

Mr Holland J Pitre, MD is a Dermatology physician based in Vicksburg, Mississippi. Mr Holland J Pitre is licensed to practice in Louisiana (license number 12026) and his current practice location is 1202 Mission Park Dr, 1202 Mission Park Dr, Vicksburg, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 415-6089.

NPI number for Mr Holland J Pitre is 1467418152 and his current mailing address is 1202 Mission Park Dr, 1202 Mission Park Dr, Vicksburg, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467418152.

Contact Information

	Mr Holland J Pitre, MD
	1202 Mission Park Dr, 1202 Mission Park Dr, Vicksburg, MS 39180-3758
	(601) 415-6089
	(601) 636-6677

Physician's Profile

Full Name	Mr Holland J Pitre
Gender	Male
Speciality	Dermatology
Location	1202 Mission Park Dr, Vicksburg, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1467418152
Provider Enumeration Date: 04/22/2006
Last Update Date: 08/30/2013

Medical Identifiers

Medical identifiers for Mr Holland J Pitre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467418152	NPI	-	NPPES
1095303	Medicaid	LA
3021079461	Other	MS	PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	12026 (Louisiana)	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. Mr Holland J Pitre 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
Mr Holland J Pitre, MD 1202 Mission Park Dr, 1202 Mission Park Dr, Vicksburg, MS 39180-3758 Ph: (601) 415-6089	Mr Holland J Pitre, MD 1202 Mission Park Dr, 1202 Mission Park Dr, Vicksburg, MS 39180-3758 Ph: (601) 415-6089

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Mr Holland J Pitre, MD - Dermatology in Vicksburg, MS