Mary L Hollis, CNM is a medicare enrolled "Advanced Practice Midwife" in Brookville, Pennsylvania. Her current practice location is
113 Main St, First Floor, Brookville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 849-2233.
Mary L Hollis is licensed to practice in Pennsylvania (license number MW008503L) 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 1518967397.
Provider's Profile
| Full Name | Mary L Hollis |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 113 Main St, Brookville, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518967397
- Provider Enumeration Date: 07/22/2005
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 1254352321
- Enrollment ID: I20051216000245
Medical Identifiers
Medical identifiers for Mary L Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518967397 | NPI | - | NPPES |
| 0018355140004 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | MW008503L (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. Mary L Hollis allows following entities to bill medicare on her behalf.
| Entity Name | University Of Pittsburgh Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883 |
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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. Mary 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 |
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Mary L Hollis, CNM
113 Main St, First Floor,
Brookville, PA 15825-1212
Ph: (814) 849-2233 | Mary L Hollis, CNM
113 Main St, First Floor,
Brookville, PA 15825-1212
Ph: (814) 849-2233 |
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