Holly Elizabeth Vicars, DO is a medicare enrolled "Internal Medicine" physician in Lebanon, Virginia. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Banner Hospital Based Physicians Arizona Llc, Blue Ridge Medical Management Corporation and her current practice location is
58 Carroll Street, Rm 2037, Lebanon, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 883-8000.
Holly Elizabeth Vicars is licensed to practice in Florida (license number OS12021) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689985301.
Physician's Profile
Full Name | Holly Elizabeth Vicars |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 14 Years |
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Location | 58 Carroll Street, Lebanon, Virginia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Holly Elizabeth Vicars graduated from medical school in 2010
NPI Data:
- NPI Number: 1689985301
- Provider Enumeration Date: 06/28/2010
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870728611
- Enrollment ID: I20231204002173
Medical Identifiers
Medical identifiers for Holly Elizabeth Vicars such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689985301 | NPI | - | NPPES |
14RT0 | Other | FL | FLORIDA BLUE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | DR.0067562 (Colorado) | Secondary |
207R00000X | Internal Medicine | 0102208530 (Virginia) | Secondary |
207R00000X | Internal Medicine | OP61227067 (Washington) | Secondary |
207R00000X | Internal Medicine | 010704 (Arizona) | Secondary |
208M00000X | Hospitalist | 0102208530 (Virginia) | Secondary |
208M00000X | Hospitalist | DR.0067562 (Colorado) | Secondary |
207R00000X | Internal Medicine | OS12021 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Banner Hospital Based Physicians Arizona Llc | 3274782487 | 405 |
Blue Ridge Medical Management Corporation | 9739099441 | 280 |
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. Holly Elizabeth Vicars allows following entities to bill medicare on her behalf.
Entity Name | Banner Cancer Center Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
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Entity Name | Banner Hospital Based Physicians Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
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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. Holly Elizabeth Vicars 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 |
Holly Elizabeth Vicars, DO 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Holly Elizabeth Vicars, DO 58 Carroll Street, Rm 2037, Lebanon, VA 24266 Ph: (276) 883-8000 |
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