Dr Scott Donald Holley, MD, FACS is a medicare enrolled "Plastic Surgery" physician in Portage, Michigan. He went to Indiana University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. His current practice location is
7971 Moorsbridge Rd, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 329-2900.
Dr Scott Donald Holley is licensed to practice in Michigan (license number SH069904) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811994841.
Physician's Profile
| Full Name | Dr Scott Donald Holley |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 35 Years |
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| Location | 7971 Moorsbridge Rd, Portage, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Scott Donald Holley attended and graduated from Indiana University School Of Medicine in 1989
NPI Data:
- NPI Number: 1811994841
- Provider Enumeration Date: 07/06/2005
- Last Update Date: 04/17/2013
Medicare PECOS Information:
- PECOS PAC ID: 7517911134
- Enrollment ID: I20101102000848
Medical Identifiers
Medical identifiers for Dr Scott Donald Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811994841 | NPI | - | NPPES |
| 0C90475 | Other | MI | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | SH069904 (Michigan) | Secondary |
| 208200000X | Plastic Surgery | SH069904 (Michigan) | Primary |
Medical Facilities Affiliation
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 Scott Donald Holley allows following entities to bill medicare on his behalf.
| Entity Name | Holley Medical Aesthetics Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801577671
PECOS PAC ID: 8820451685
Enrollment ID: O20230825002284 |
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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. Dr Scott Donald 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 Address | Practice Location Address |
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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 |
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