Bert S Hollis, CRNA in Springfield, MO - Medicare Nurse Anesthetist, Certified Registered

Bert S Hollis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Missouri. His current practice location is 1235 E Cherokee St, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-2829.

Bert S Hollis is licensed to practice in Missouri (license number 075285) 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 1861539710.

Contact Information

	Bert S Hollis, CRNA
	1235 E Cherokee St, Springfield, MO 65804-2203
	(417) 820-2829
	(417) 820-8852

Map and Direction

Provider's Profile

Full Name	Bert S Hollis
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1235 E Cherokee St, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861539710
Provider Enumeration Date: 01/31/2007
Last Update Date: 07/11/2008

Medicare PECOS Information:

PECOS PAC ID: 7113090416
Enrollment ID: I20080721000034

Medical Identifiers

Medical identifiers for Bert S Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861539710	NPI	-	NPPES
125917701	Medicaid	AR
912753308	Medicaid	MO
175118	Other	MO	MO BLUE SHIELD
82214	Other	AR	ARK BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	075285 (Missouri)	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. Bert S Hollis allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

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. Bert S 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
Bert S Hollis, CRNA Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620	Bert S Hollis, CRNA 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-2829

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springfield, MO

Olivia M. Kilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852
Mr. David E Meinhardt, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 E Primrose St, Springfield, MO 65804 Phone: 417-886-3937 Fax: 417-886-1285
Jacquelyn B Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829
Dione E Blansit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829
Jesse D Collins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852
Bradley A Korman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852
John D Ford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852

Bert S Hollis, CRNA - Medicare Nurse Anesthetist, Certified Registered in Springfield, MO