Andy Wade Holley, DO - Medicare General Surgery in Corinth, MS

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Andy Wade Holley, DO is a medicare enrolled "Surgery" physician in Corinth, Mississippi. He graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Ut Methodist Physicians Llc, Magnolia Surgical Group, Ut Methodist Physicians Llc and his current practice location is 703 Alcorn Dr Ste 102, Corinth, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 286-2522.

Andy Wade Holley is licensed to practice in Mississippi (license number 23290) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1700020005.

Contact Information

Andy Wade Holley, DO
703 Alcorn Dr Ste 102,
Corinth, MS 38834-9302
(662) 286-2522
Not Available

Map and Direction




Physician's Profile

Full NameAndy Wade Holley
GenderMale
SpecialityGeneral Surgery
Experience17 Years
Location703 Alcorn Dr Ste 102, Corinth, Mississippi
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andy Wade Holley graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1700020005
  • Provider Enumeration Date: 04/30/2009
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234360488
  • Enrollment ID: I20140923000693

Medical Identifiers

Medical identifiers for Andy Wade Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700020005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 5474 (Tennessee)Secondary
208600000XSurgery 23290 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Magnolia Regional Health CenterCorinth, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Methodist Physicians Llc2769623669103
Magnolia Surgical Group62048257552
Ut Methodist Physicians Llc2769623669103

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. Andy Wade Holley allows following entities to bill medicare on his behalf.
Entity NameMagnolia Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699756445
PECOS PAC ID: 9739078460
Enrollment ID: O20040311001091
Entity NameMagnolia Surgical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134142284
PECOS PAC ID: 6204825755
Enrollment ID: O20040510000811
Entity NameUt Methodist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427317908
PECOS PAC ID: 2769623669
Enrollment ID: O20140425001228

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. Andy Wade Holley 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
Andy Wade Holley, DO
1710 Fieldstone Farms Rd,
Corinth, MS 38834-7561

Ph: (662) 678-6202		Andy Wade Holley, DO
703 Alcorn Dr Ste 102,
Corinth, MS 38834-9302

Ph: (662) 286-2522

Reviews and Comments


Surgery Doctors in Corinth, MS

Mathew Bowen Johnson Jr., M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 703 Alcorn Dr, Suite 102, Corinth, MS 38834
Phone: 662-286-2522    Fax: 662-293-4288
Dr. Sun Ae Kim, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 611 Alcorn Dr., Corinth, MS 38834
Phone: 662-293-1000    
Dr. Benjamin Daniel Pettigrew, DO
Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 703 Alcorn Dr Ste 109, Corinth, MS 38834
Phone: 662-286-2522    
Dr. James D. Edmonson, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2429 Proper St, Corinth, MS 38834
Phone: 662-286-3735    Fax: 662-286-3721

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.