Oba Hashim Hollie, MD in Clarksville, TN - Medicare Internal Medicine

Oba Hashim Hollie, MD is a medicare enrolled "Internal Medicine" physician in Clarksville, Tennessee. His current practice location is 511 8th St, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 245-3580.

Oba Hashim Hollie is licensed to practice in Tennessee (license number MD0000045168) 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 1013130749.

Contact Information

	Oba Hashim Hollie, MD
	511 8th St, Clarksville, TN 37040-3093
	(931) 245-3580
	(931) 201-5868

Map and Direction

Physician's Profile

Full Name	Oba Hashim Hollie
Gender	Male
Speciality	Internal Medicine
Location	511 8th St, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013130749
Provider Enumeration Date: 04/11/2007
Last Update Date: 12/19/2014

Medicare PECOS Information:

PECOS PAC ID: 8527105493
Enrollment ID: I20091026000371

Medical Identifiers

Medical identifiers for Oba Hashim Hollie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013130749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD0000045168 (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. Oba Hashim Hollie allows following entities to bill medicare on his behalf.

Entity Name	Centerstone Of Tennessee, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396767430 PECOS PAC ID: 9739088113 Enrollment ID: O20040106000489

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. Oba Hashim Hollie 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
Oba Hashim Hollie, MD 511 8th St, Clarksville, TN 37040-3093 Ph: (931) 245-3580	Oba Hashim Hollie, MD 511 8th St, Clarksville, TN 37040-3093 Ph: (931) 245-3580

Reviews and Comments

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Oba Hashim Hollie, MD - Medicare Internal Medicine in Clarksville, TN