Dr Keli Rose Hollis, DDS - Medicare Dentist in Canton, NY

Dr Keli Rose Hollis, DDS is a medicare enrolled "Dentist - General Practice" provider in Canton, New York. Her current practice location is 1956 Old Dekalb Rd, Canton, New York. You can reach out to her office (for appointments etc.) via phone at (315) 386-2960.

Dr Keli Rose Hollis is licensed to practice in New York (license number 054506) 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 1487885505.

Contact Information

Dr Keli Rose Hollis, DDS
1956 Old Dekalb Rd,
Canton, NY 13617-3134
(315) 386-2960
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Keli Rose Hollis
GenderFemale
SpecialityDentist - General Practice
Location1956 Old Dekalb Rd, Canton, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487885505
  • Provider Enumeration Date: 08/06/2009
  • Last Update Date: 01/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042530826
  • Enrollment ID: I20150519000481

Medical Identifiers

Medical identifiers for Dr Keli Rose Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487885505NPI-NPPES
01995615MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 054506 (New York)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. Dr Keli Rose 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 AddressPractice Location Address
Dr Keli Rose Hollis, DDS
1956 Old Dekalb Rd,
Canton, NY 13617-3134

Ph: (315) 386-2960
Dr Keli Rose Hollis, DDS
1956 Old Dekalb Rd,
Canton, NY 13617-3134

Ph: (315) 386-2960

Reviews and Comments


Dentist in Canton, NY

Dr. Pedro Mario Alvarez Jr., DDS
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Phone: 315-386-8191    Fax: 315-386-1410
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Dr. Yuliya Medved, DDS
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Practice Location: 14 Miner St, Canton, NY 13617
Phone: 315-379-9195    
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Practice Location: 4 Commerce Ln, Canton, NY 13617
Phone: 315-386-8191    Fax: 315-386-1410
Dr. Aleksandr Medved, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 14 Miner St, Canton, NY 13617
Phone: 315-379-9195    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.