Staci M Holles-sobota, DO - Medicare Family Medicine in Indian Land, SC

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Staci M Holles-sobota, DO is a medicare enrolled "Family Medicine" physician in Indian Land, South Carolina. Her current practice location is 8384 Charlotte Hwy, Indian Land, South Carolina. You can reach out to her office (for appointments etc.) via phone at (703) 689-9037.

Staci M Holles-sobota is licensed to practice in South Carolina (license number 37739) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740471077.

Contact Information

Staci M Holles-sobota, DO
8384 Charlotte Hwy,
Indian Land, SC 29707-6532
(703) 689-9037
(703) 689-9109

Map and Direction




Physician's Profile

Full NameStaci M Holles-sobota
GenderFemale
SpecialityFamily Medicine
Location8384 Charlotte Hwy, Indian Land, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740471077
  • Provider Enumeration Date: 08/01/2007
  • Last Update Date: 09/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6406941798
  • Enrollment ID: I20180618003435

Medical Identifiers

Medical identifiers for Staci M Holles-sobota such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740471077NPI-NPPES
377391MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 37739 (South Carolina)Secondary
207P00000XEmergency Medicine 0102202037 (Virginia)Secondary
207Q00000XFamily Medicine 37739 (South Carolina)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. Staci M Holles-sobota allows following entities to bill medicare on her behalf.
Entity NameDoctors Care, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366499048
PECOS PAC ID: 6204731300
Enrollment ID: O20040112000069
Entity NameEmergencymd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619383791
PECOS PAC ID: 7416179478
Enrollment ID: O20141107000731
Entity NamePiedmont Physician Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194277186
PECOS PAC ID: 7911287552
Enrollment ID: O20161216001613

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. Staci M Holles-sobota 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
Staci M Holles-sobota, DO
1300 Piccard Drive, Suite 202 Emergency Medicine Associates,
Rockville, MD 20850-4303

Ph: (301) 921-7900		Staci M Holles-sobota, DO
8384 Charlotte Hwy,
Indian Land, SC 29707-6532

Ph: (703) 689-9037

Reviews and Comments


Family Medicine Doctors in Indian Land, SC

Dr. William Lee Thomas, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6237 Carolina Commons Dr, Suite 101, Indian Land, SC 29707
Phone: 803-548-9393    Fax: 803-548-9590
William Arthur Morris, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7666 Charlotte Hwy, Ste 120, Indian Land, SC 29707
Phone: 803-431-8220    
James A Furse Jr., M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7666 Charlotte Hwy, Suite 120, Indian Land, SC 29707
Phone: 803-431-8220    Fax: 803-431-8221
Joyce C. Ward, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7666 Charlotte Hwy, Ste 120, Indian Land, SC 29707
Phone: 803-431-8220    
Dr. Shephali Nimish Patel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1040 Edgewater Corporate Pkwy Suite 101, Indian Land, SC 29707
Phone: 803-548-7007    Fax: 803-802-2015
Tami Jean Harris, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7666 Charlotte Hwy, Ste 120, Indian Land, SC 29707
Phone: 803-431-8220    
Megan Burns Sanborn, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 9709 Redstone Dr, Indian Land, SC 29707
Phone: 704-667-5350    

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.