| Dr Scott Donald Holley, MD, FACS | |
|
7971 Moorsbridge Rd, Portage, MI 49024-4075 | |
| (269) 329-2900 | |
| (269) 329-1408 |
| Full Name | Dr Scott Donald Holley |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 37 Years |
| Location | 7971 Moorsbridge Rd, Portage, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811994841 | NPI | - | NPPES |
| 0C90475 | Other | MI | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | SH069904 (Michigan) | Secondary |
| 208200000X | Plastic Surgery | SH069904 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| Bronson Battle Creek Hospital | Battle creek, MI | Hospital |
| Entity Name | Paragon Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629528765 PECOS PAC ID: 1658283007 Enrollment ID: O20161122000529 |
| Entity Name | Holley Medical Aesthetics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801577671 PECOS PAC ID: 8820451685 Enrollment ID: O20230825002284 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Donald Holley, MD, FACS 7971 Moorsbridge Rd, Portage, MI 49024-4075 Ph: (269) 329-2900 | Dr Scott Donald Holley, MD, FACS 7971 Moorsbridge Rd, Portage, MI 49024-4075 Ph: (269) 329-2900 |
Dr. Raghuram Gop Elluru, M.D., F.A.C.S. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7971 Moorsbridge Rd, Portage, MI 49024 Phone: 269-329-2900 Fax: 269-329-1408 |