Penny Marie Holley, FNP - Medicare Nurse Practitioner in Southaven, MS

Penny Marie Holley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Southaven, Mississippi. Her current practice location is 3964 Goodman Rd E Ste 128-129, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 655-0456.

Penny Marie Holley is licensed to practice in Mississippi (license number 868493) 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 1013524495.

Contact Information

Penny Marie Holley, FNP
3964 Goodman Rd E Ste 128-129,
Southaven, MS 38672-8761
(662) 655-0456
(662) 655-0457



Provider's Profile

Full NamePenny Marie Holley
GenderFemale
SpecialityNurse Practitioner - Family
Location3964 Goodman Rd E Ste 128-129, Southaven, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013524495
  • Provider Enumeration Date: 09/29/2020
  • Last Update Date: 03/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082024492
  • Enrollment ID: I20201112002857

Medical Identifiers

Medical identifiers for Penny Marie Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013524495NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 868493 (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. Penny Marie Holley allows following entities to bill medicare on her behalf.
Entity NameNewsom Healthcare Of Desoto County Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205243649
PECOS PAC ID: 1759609340
Enrollment ID: O20150410001254

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Entity NameMays Medical Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649790437
PECOS PAC ID: 6406113299
Enrollment ID: O20171204001138

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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. Penny Marie 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
Penny Marie Holley, FNP
3964 Goodman Rd E Ste 128-129,
Southaven, MS 38672-8761

Ph: (662) 655-0456
Penny Marie Holley, FNP
3964 Goodman Rd E Ste 128-129,
Southaven, MS 38672-8761

Ph: (662) 655-0456

News Archive

Japanese scientists find evidence that cytokine IL-17A plays crucial role in psoriasis

Psoriasis is an inflammatory skin condition that affects some 125 million people worldwide. It is characterized by itchy, scaly skin plaques. The exact cause of psoriasis is unclear.

Seattle Times examines how Gates Foundation's goal to eradicate malaria is affecting research

The Seattle Times examines how the Bill & Melinda Gates Foundation's goal to eradicate malaria is shaping aspects of global research.

Alcohol intake is linked to cancer, something most Americans are unaware of, warns ASCO

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The heredity substance DNA is the blueprint of our life. Like an instruction manual it contains all the information needed for cells and the body to function properly.

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Nurse Practitioner Nurses in Southaven, MS

Ms. Sherlean D Shugars, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2149 Stateline Rd W, Southaven, MS 38671
Phone: 662-342-1112    
Mrs. Christy Le Anne Egbert, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 122 Airways Pl, Southaven, MS 38671
Phone: 662-349-9990    Fax: 662-349-2620
Misty Burton, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 391 Southcrest Cir, Southaven, MS 38671
Phone: 662-349-2659    
Rebecca Holly T Robertson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 122 Airways Pl, Southaven, MS 38671
Phone: 662-349-9990    Fax: 662-349-2620
Debra Gail Gill, RNC, MSN, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4892 Briarton Dr, Southaven, MS 38672
Phone: 901-262-0332    
Jessica N Brown, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 55 Physicians Ln, Southaven, MS 38671
Phone: 662-655-2136    

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