Holly Foot & Ankle Specialists Plc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Holly, Michigan. Their current practice location is
4038 Grange Hall Rd, Holly, Michigan. You can reach out to their office (for appointments etc.) via phone at
(248) 642-6200.
Holly Foot & Ankle Specialists Plc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Holly Foot & Ankle Specialists Plc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1477684413.
Healthcare Provider's Profile
| Full Name | Holly Foot & Ankle Specialists Plc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 4038 Grange Hall Rd, Holly, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477684413
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 05/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830124882
- Enrollment ID: O20050928001401
Medical Identifiers
Medical identifiers for Holly Foot & Ankle Specialists Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477684413 | NPI | - | NPPES |
| 4810985 | Medicaid | MI | |
| 480F327690 | Other | MI | BCBS |
| 1477684413 | Other | MI | MEDICARE NGS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Holly Foot & Ankle Specialists Plc acts as a billing entity for following providers:
| Provider Name | Harold M Koehler |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1598772394
PECOS PAC ID: 0547295891
Enrollment ID: I20051010000743 |
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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. Holly Foot & Ankle Specialists Plc 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 |
|---|
Holly Foot & Ankle Specialists Plc
4038 Grange Hall Rd,
Holly, MI 48442-1160
Ph: (248) 634-6200 | Holly Foot & Ankle Specialists Plc
4038 Grange Hall Rd,
Holly, MI 48442-1160
Ph: (248) 642-6200 |
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