Victoria Haynes Holt, PA - Medicare Physician Assistant in Olive Branch, MS

Victoria Haynes Holt, PA is a medicare enrolled "Physician Assistant" in Olive Branch, Mississippi. Her current practice location is 5480 Goodman Rd Ste 1, Olive Branch, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 874-6507.

Victoria Haynes Holt is licensed to practice in Mississippi (license number PA00746) 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 1588396378.

Contact Information

Victoria Haynes Holt, PA
5480 Goodman Rd Ste 1,
Olive Branch, MS 38654-7902
(662) 874-6507
(662) 932-8197



Provider's Profile

Full NameVictoria Haynes Holt
GenderFemale
SpecialityPhysician Assistant
Location5480 Goodman Rd Ste 1, Olive Branch, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588396378
  • Provider Enumeration Date: 06/29/2022
  • Last Update Date: 03/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204281439
  • Enrollment ID: I20231009001408

Medical Identifiers

Medical identifiers for Victoria Haynes Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588396378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA00746 (Mississippi)Primary
363A00000XPhysician Assistant 5678 (Tennessee)Secondary

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. Victoria Haynes Holt 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
Victoria Haynes Holt, PA
1211 Union Ave Ste 330,
Memphis, TN 38104-6655

Ph: () -
Victoria Haynes Holt, PA
5480 Goodman Rd Ste 1,
Olive Branch, MS 38654-7902

Ph: (662) 874-6507

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Physician Assistant Nurses in Olive Branch, MS

Joyce Denice Kildow, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654
Phone: 662-932-9111    
Neha Patel, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654
Phone: 662-932-9000    
Carmen Sydni Lewis,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1335 Wood Ridge Dr, Olive Branch, MS 38654
Phone: 662-357-8479    

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