Jodie Darlene Holmes, ARNP - Medicare Dermatology in Germantown, TN

Jodie Darlene Holmes, ARNP is a medicare enrolled "Dermatology" in Germantown, Tennessee. Her current practice location is 7658 Poplar Pike, Advanced Dermatology, Germantown, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 759-2322.

Jodie Darlene Holmes is licensed to practice in Tennessee (license number 26431) 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 1770036337.

Contact Information

Jodie Darlene Holmes, ARNP
7658 Poplar Pike, Advanced Dermatology,
Germantown, TN 38138-3813
(901) 759-2322
(563) 578-3322



Provider's Profile

Full NameJodie Darlene Holmes
GenderFemale
SpecialityDermatology
Location7658 Poplar Pike, Germantown, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770036337
  • Provider Enumeration Date: 08/01/2016
  • Last Update Date: 02/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4183910797
  • Enrollment ID: I20200210002783

Medical Identifiers

Medical identifiers for Jodie Darlene Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770036337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SF0001XClinical Nurse Specialist - Family Health A116063 (Iowa)Secondary
207N00000XDermatology 26431 (Tennessee)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. Jodie Darlene Holmes allows following entities to bill medicare on her behalf.
Entity NameThe Wootton Clinic And Medical Center, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184812117
PECOS PAC ID: 1052341005
Enrollment ID: O20071214000413

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Entity NameAdvanced Dermatology And Skin Cancer Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265604888
PECOS PAC ID: 2163501834
Enrollment ID: O20080506000665

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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. Jodie Darlene Holmes 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
Jodie Darlene Holmes, ARNP
5352 Ambassador Ln W, Apt 203,
Arlington, TN 38002-4953

Ph: (319) 327-7188
Jodie Darlene Holmes, ARNP
7658 Poplar Pike, Advanced Dermatology,
Germantown, TN 38138-3813

Ph: (901) 759-2322

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