Dr Blake Ryan Hollowoa, MD in Charleston, SC

Dr Blake Ryan Hollowoa, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Charleston, South Carolina. His current practice location is 9228 Medical Plaza Dr, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 574-5693.

Dr Blake Ryan Hollowoa is licensed to practice in Tennessee (license number 71712) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871099499.

Contact Information

	Dr Blake Ryan Hollowoa, MD
	9228 Medical Plaza Dr, Charleston, SC 29406-9125
	(843) 574-5693
	(843) 764-4512

Map and Direction

Physician's Profile

Full Name	Dr Blake Ryan Hollowoa
Gender	Male
Speciality	Otolaryngology - Plastic Surgery Within The Head & Neck
Location	9228 Medical Plaza Dr, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871099499
Provider Enumeration Date: 04/03/2018
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5991051534
Enrollment ID: I20231109003564

Medical Identifiers

Medical identifiers for Dr Blake Ryan Hollowoa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871099499	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	89309 (South Carolina)	Secondary
207YX0007X	Otolaryngology - Plastic Surgery Within The Head & Neck	71712 (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. Dr Blake Ryan Hollowoa allows following entities to bill medicare on his behalf.

Entity Name	Savannah Multispecialty Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528571320 PECOS PAC ID: 3678836558 Enrollment ID: O20180405001138

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. Dr Blake Ryan Hollowoa 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 Address	Practice Location Address
Dr Blake Ryan Hollowoa, MD 335 24th Ave N, Nashville, TN 37203-1503 Ph: (615) 342-0290	Dr Blake Ryan Hollowoa, MD 9228 Medical Plaza Dr, Charleston, SC 29406-9125 Ph: (843) 574-5693

Reviews and Comments

Otolaryngology Doctors in Charleston, SC

Jenna Hanner Barengo, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 740-525-0170
Ronald James Mcvicar, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1849 Savage Rd, Charleston, SC 29407 Phone: 843-766-7103 Fax: 843-576-2692
Nicole Kloosterman, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave # Msc550, Charleston, SC 29425 Phone: 843-792-8299
Dr. Mark Drury Ghegan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1849 Savage Rd, Charleston, SC 29407 Phone: 843-766-7103 Fax: 843-763-3834
Anthony Ghanem, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave Ste 1130, Charleston, SC 29425 Phone: 843-876-0791 Fax: 843-792-0546
Amanda Gemmiti, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. David Watson Rodwell Iii, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 67 Broad St, Suite 200, Charleston, SC 29401 Phone: 843-628-1415

Dr Blake Ryan Hollowoa, MD - Medicare Otolaryngology in Charleston, SC