Stacey Hollaway, MD - Medicare Internal Medicine in Canton, OH

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Stacey Hollaway, MD is a medicare enrolled "Internal Medicine" physician in Canton, Ohio. She went to Northeastern Ohio University College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Stark County Medical Group Inc and her current practice location is 4810 Munson St Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 499-3377.

Stacey Hollaway is licensed to practice in Ohio (license number 35-062821H) 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 1922064906.

Contact Information

Stacey Hollaway, MD
4810 Munson St Nw,
Canton, OH 44718-3613
(330) 499-3377
Not Available

Map and Direction




Physician's Profile

Full NameStacey Hollaway
GenderFemale
SpecialityInternal Medicine
Experience39 Years
Location4810 Munson St Nw, Canton, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacey Hollaway attended and graduated from Northeastern Ohio University College Of Medicine in 1985
  NPI Data:
  • NPI Number: 1922064906
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 08/21/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8527952597
  • Enrollment ID: I20100325000136

Medical Identifiers

Medical identifiers for Stacey Hollaway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922064906NPI-NPPES
0888615MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35-062821H (Ohio)Primary
208000000XPediatrics 35-062821H (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aultman HospitalCanton, OHHospital
Mercy Medical CenterCanton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stark County Medical Group Inc67097707792

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. Stacey Hollaway allows following entities to bill medicare on her behalf.
Entity NameStark County Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427068634
PECOS PAC ID: 6709770779
Enrollment ID: O20040211000002

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. Stacey Hollaway 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 AddressPractice Location Address
Stacey Hollaway, MD
8062 N Nickelplate St,
Louisville, OH 44641-9543

Ph: () -		Stacey Hollaway, MD
4810 Munson St Nw,
Canton, OH 44718-3613

Ph: (330) 499-3377

Reviews and Comments


Internal Medicine Doctors in Canton, OH

Nishad Avinash Barve,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708
Phone: 330-489-1000    
Todd L Johnson, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718
Phone: 330-489-1386    Fax: 330-489-1258
John C Tsai, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718
Phone: 330-489-1386    Fax: 330-489-1258
David Andrew Beard, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2600 6th St Sw, Canton, OH 44710
Phone: 330-363-2180    
Yara Khouri, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Sixth St Sw, Canton, OH 44710
Phone: 330-363-6235    
Dr. Mitchell Haut, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1455 Harrison Ave Nw, Ste 105, Canton, OH 44708
Phone: 330-453-9993    Fax: 330-453-9996
Ramana Podugu, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2600 6th St Sw, Suite A2-710, Canton, OH 44710
Phone: 330-454-8076    Fax: 330-454-3927

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.