Dr Hollace Marie Disser, MD - Medicare Emergency Medicine in Charlotte, NC

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Dr Hollace Marie Disser, MD is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Carolinas Emergency Physicians Pa and her current practice location is 1000 Blythe Blvd, Meb 3, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 355-3658.

Dr Hollace Marie Disser is licensed to practice in North Carolina (license number 148896) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053570697.

Contact Information

Dr Hollace Marie Disser, MD
1000 Blythe Blvd, Meb 3,
Charlotte, NC 28203-5812
(704) 355-3658
(704) 355-7047

Map and Direction




Physician's Profile

Full NameDr Hollace Marie Disser
GenderFemale
SpecialityEmergency Medicine
Experience16 Years
Location1000 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Hollace Marie Disser attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2008
  NPI Data:
  • NPI Number: 1053570697
  • Provider Enumeration Date: 06/09/2008
  • Last Update Date: 06/09/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4082886650
  • Enrollment ID: I20111004000875

Medical Identifiers

Medical identifiers for Dr Hollace Marie Disser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053570697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 148896 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Health ClevelandShelby, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Emergency Physicians Pa862805515919

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. Dr Hollace Marie Disser allows following entities to bill medicare on her behalf.
Entity NameThe Carolinas Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477508836
PECOS PAC ID: 2567486814
Enrollment ID: O20060125000577
Entity NameCarolinas Emergency Physicians Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285952671
PECOS PAC ID: 8628055159
Enrollment ID: O20100715000317
Entity NameBallantyne Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164052726
PECOS PAC ID: 8123459898
Enrollment ID: O20200513000736
Entity NameStallings Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235728031
PECOS PAC ID: 2769870971
Enrollment ID: O20211020002403

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 Hollace Marie Disser 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 Hollace Marie Disser, MD
1000 Blythe Blvd, Meb 3,
Charlotte, NC 28203-5812

Ph: (704) 355-3658		Dr Hollace Marie Disser, MD
1000 Blythe Blvd, Meb 3,
Charlotte, NC 28203-5812

Ph: (704) 355-3658

Reviews and Comments


Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3658    
Jacob Leedekerken,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    
Neha Ray, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047
John B Clark Jr., M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207
Phone: 704-377-2424    Fax: 704-377-2687
Nilesh K. Patel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2171    
Michael Stephen Merrill, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211
Phone: 704-377-2424    Fax: 704-377-2687
Brian Zachary Hedges, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047

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.