Tori Monique Hollis, CRNP in Birmingham, AL - Medicare Nurse Practitioner

Tori Monique Hollis, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Birmingham, Alabama. Her current practice location is 652 Lomb Ave Sw, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 783-9877.

Tori Monique Hollis is licensed to practice in Alabama (license number 1-143788) 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 1477002103.

Contact Information

	Tori Monique Hollis, CRNP
	652 Lomb Ave Sw, Birmingham, AL 35211-1330
	(205) 783-9877
	Not Available

Map and Direction

Provider's Profile

Full Name	Tori Monique Hollis
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	652 Lomb Ave Sw, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477002103
Provider Enumeration Date: 09/22/2016
Last Update Date: 09/22/2016

Medicare PECOS Information:

PECOS PAC ID: 1658625546
Enrollment ID: I20181112002561

Medical Identifiers

Medical identifiers for Tori Monique Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477002103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	1-143788 (Alabama)	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. Tori Monique Hollis allows following entities to bill medicare on her behalf.

Entity Name	Birmingham Family Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831227271 PECOS PAC ID: 8527030303 Enrollment ID: O20040811001052

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. Tori Monique 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
Tori Monique Hollis, CRNP 652 Lomb Ave Sw, Birmingham, AL 35211-1330 Ph: () -	Tori Monique Hollis, CRNP 652 Lomb Ave Sw, Birmingham, AL 35211-1330 Ph: (205) 783-9877

Reviews and Comments

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Tori Monique Hollis, CRNP - Medicare Nurse Practitioner in Birmingham, AL