P Shripathi Holla, MD is a medicare enrolled "Neurological Surgery" physician in Scranton, Pennsylvania. His current practice location is
1800 Mulberry St, Scranton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 969-8888.
P Shripathi Holla is licensed to practice in Pennsylvania (license number MD026074E) 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 1114037975.
Physician's Profile
Full Name | P Shripathi Holla |
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Gender | Male |
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Speciality | Neurological Surgery |
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Location | 1800 Mulberry St, Scranton, Pennsylvania |
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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: 1114037975
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 02/07/2013
Medicare PECOS Information:
- PECOS PAC ID: 5991852493
- Enrollment ID: I20090421000463
Medical Identifiers
Medical identifiers for P Shripathi Holla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114037975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | MD026074E (Pennsylvania) | 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. P Shripathi Holla allows following entities to bill medicare on his behalf.
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
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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. P Shripathi Holla 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 |
P Shripathi Holla, MD 1800 Mulberry St, Scranton, PA 18510-2369 Ph: (570) 969-8888 | P Shripathi Holla, MD 1800 Mulberry St, Scranton, PA 18510-2369 Ph: (570) 969-8888 |
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