Ms Dominique Starr Crosby Holley, D O - Medicare Psychiatry & Neurology in Fort Campbell, KY

Ms Dominique Starr Crosby Holley, D O is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Campbell, Kentucky. Her current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at (301) 295-4611.

Ms Dominique Starr Crosby Holley is licensed to practice in Virginia (license number 0102203789) 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 1639433360.

Contact Information

Ms Dominique Starr Crosby Holley, D O
650 Joel Dr,
Fort Campbell, KY 42223-5318
(301) 295-4611
Not Available



Physician's Profile

Full NameMs Dominique Starr Crosby Holley
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639433360
  • Provider Enumeration Date: 06/27/2012
  • Last Update Date: 04/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9335364116
  • Enrollment ID: I20231211000388

Medical Identifiers

Medical identifiers for Ms Dominique Starr Crosby Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639433360NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 0102203789 (Virginia)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. Ms Dominique Starr Crosby Holley allows following entities to bill medicare on her behalf.
Entity NameMccd Fl Psychiatry Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659003457
PECOS PAC ID: 4880064070
Enrollment ID: O20230123000950

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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. Ms Dominique Starr Crosby Holley 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
Ms Dominique Starr Crosby Holley, D O
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: () -
Ms Dominique Starr Crosby Holley, D O
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (301) 295-4611

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Psychiatry & Neurology Doctors in Fort Campbell, KY

Dr. Balakrishna Mohan Rao, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-5931    
Dr. John Fernando Chaves, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Dr. Bret W. Logan, M.D, PLC
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223
Phone: 270-798-8372    Fax: 270-956-0180
Michelle Hornbaker-park, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223
Phone: 270-798-8106    
Dr. Christopher Lee Lange, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-956-0522    
Dr. Samuel Fam, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 318-680-6607    

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