Kali Hollingsworth, DO - Medicare Family Practice in Dayton, OH

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Kali Hollingsworth, DO is a medicare enrolled "Family Medicine" physician in Dayton, Ohio. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Alliance Physicians Inc, Kettering Independent Medical Group Inc and her current practice location is 6438 Wilmington Pike Ste 100, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 558-3840.

Kali Hollingsworth is licensed to practice in Ohio (license number 34.010558) 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 1245565944.

Contact Information

Kali Hollingsworth, DO
6438 Wilmington Pike Ste 100,
Dayton, OH 45459-7021
(937) 558-3840
(937) 558-3844

Map and Direction




Physician's Profile

Full NameKali Hollingsworth
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location6438 Wilmington Pike Ste 100, Dayton, Ohio
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:
  • Kali Hollingsworth graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1245565944
  • Provider Enumeration Date: 10/14/2009
  • Last Update Date: 01/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789833203
  • Enrollment ID: I20120927000182

Medical Identifiers

Medical identifiers for Kali Hollingsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245565944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 34-010558 (Ohio)Secondary
207Q00000XFamily Medicine 34.010558 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Soin Medical CenterBeaver creek, OHHospital
Grandview And Southview HospitalsDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alliance Physicians Inc0840104360307
Kettering Independent Medical Group Inc3173710936586

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. Kali Hollingsworth allows following entities to bill medicare on her behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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. Kali Hollingsworth 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
Kali Hollingsworth, DO
6438 Wilmington Pike Ste 100,
Dayton, OH 45459-7021

Ph: (937) 558-3840		Kali Hollingsworth, DO
6438 Wilmington Pike Ste 100,
Dayton, OH 45459-7021

Ph: (937) 558-3840

Reviews and Comments


Family Medicine Doctors in Dayton, OH

Dr. Derek Williamson Sherk, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3077 Kettering Blvd, Suite Number 319, Dayton, OH 45439
Phone: 937-293-2133    
Dr. Barbara A Bennett, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8701 Troy Pike Ste 50, Dayton, OH 45424
Phone: 937-233-4252    Fax: 937-233-7605
Jeffrey R Millard, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 30 E Apple St, Ste 6250, Dayton, OH 45409
Phone: 937-208-8394    Fax: 937-208-8388
Dr. Teresa Zryd, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 725 University Blvd, Dayton, OH 45435
Phone: 937-245-7200    Fax: 937-245-7922
Dr. Roger N Rizzardi, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Woodman Dr, Dayton, OH 45432
Phone: 937-252-2000    
Dr. Robert Randall Schaffer, M.D., FAAFP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4100 W 3rd St, Dayton, OH 45428
Phone: 937-268-6511    Fax: 513-423-3309
Theresa Kern, MS,RN, AGCNS-BC
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 324 Wilmington Ave, Dayton, OH 45420
Phone: 937-256-4490    Fax: 937-258-5478

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.