Terri L Hollis, DO is a medicare enrolled "Hospitalist" physician in Havertown, Pennsylvania. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2005 and has 20 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Main Line Healthcare and her current practice location is
2000 Old West Chester Pike, Havertown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 536-2100.
Terri L Hollis is licensed to practice in Pennsylvania (license number OS014429) 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 1366600751.
Physician's Profile
Full Name | Terri L Hollis |
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Gender | Female |
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Speciality | Hospitalist |
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Experience | 20 Years |
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Location | 2000 Old West Chester Pike, Havertown, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Terri L Hollis attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2005
NPI Data:
- NPI Number: 1366600751
- Provider Enumeration Date: 06/02/2008
- Last Update Date: 05/01/2017
Medicare PECOS Information:
- PECOS PAC ID: 7113093535
- Enrollment ID: I20080909000705
Medical Identifiers
Medical identifiers for Terri L Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366600751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | OS014429 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | OS014429 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Main Line Healthcare | 1951215201 | 907 |
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. Terri L Hollis allows following entities to bill medicare on her behalf.
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
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Entity Name | Knd Development 59 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851620496 PECOS PAC ID: 3678602802 Enrollment ID: O20100909001110 |
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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. Terri L 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 |
Terri L Hollis, DO 2000 Old West Chester Pike, Havertown, PA 19083-2712 Ph: (610) 536-2100 | Terri L Hollis, DO 2000 Old West Chester Pike, Havertown, PA 19083-2712 Ph: (610) 536-2100 |
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