Mary N Hollis, RN is a
Registered Nurse - Case Management based in Petersburg, Illinois. Mary N Hollis is licensed to practice in Illinois (license number ) and her current practice location is
715 W Jackson St, Petersburg, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 632-7344.
NPI number for Mary N Hollis is 1932317799 and her current mailing address is 715 W Jackson St, Petersburg, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932317799.
Provider's Profile
Full Name | Mary N Hollis |
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Gender | Female |
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Speciality | Registered Nurse - Case Management |
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Location | 715 W Jackson St, Petersburg, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932317799
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mary N Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932317799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0400X | Registered Nurse - Case Management | (Illinois) | Primary |
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 N Hollis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary N Hollis, RN 715 W Jackson St, Petersburg, IL 62675-1436 Ph: (217) 632-7344 | Mary N Hollis, RN 715 W Jackson St, Petersburg, IL 62675-1436 Ph: (217) 632-7344 |
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