Michael Vernon Hollis, MD is a medicare enrolled "Pediatrics" physician in West Branch, Michigan. His current practice location is
2431 S M 30 Ste 216, West Branch, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 343-1134.
Michael Vernon Hollis is licensed to practice in Michigan (license number 4301508144) 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 1215386115.
Physician's Profile
Full Name | Michael Vernon Hollis |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 2431 S M 30 Ste 216, West Branch, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215386115
- Provider Enumeration Date: 06/10/2016
- Last Update Date: 12/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395036701
- Enrollment ID: I20221010002853
Medical Identifiers
Medical identifiers for Michael Vernon Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215386115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4301508144 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 4301109967 (Michigan) | Secondary |
208000000X | Pediatrics | 4301508144 (Michigan) | 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. Michael Vernon Hollis allows following entities to bill medicare on his behalf.
Entity Name | Mymichigan Medical Center West Branch |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538566765 PECOS PAC ID: 7214251081 Enrollment ID: O20160714002424 |
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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. Michael Vernon Hollis 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 |
Michael Vernon Hollis, MD 7351 E Osborn Rd Ste 200b, Scottsdale, AZ 85251-6451 Ph: (480) 324-7217 | Michael Vernon Hollis, MD 2431 S M 30 Ste 216, West Branch, MI 48661-9388 Ph: (989) 343-1134 |
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