Michael Vernon Hollis, MD is a medicare enrolled "Pediatrics" physician in West Branch, Michigan. He went to Michigan State University College Of Human Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mymichigan Medical Center West Branch and his current practice location is
2431 S M 30 Ste 216, West Branch, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 343-1134.
Michael Vernon Hollis is licensed to practice in Michigan (license number 4301508144) 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 1215386115.
Physician's Profile
| Full Name | Michael Vernon Hollis |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 9 Years |
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| Location | 2431 S M 30 Ste 216, West Branch, 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. |
Medical Education and Training:
- Michael Vernon Hollis attended and graduated from Michigan State University College Of Human Medicine in 2016
NPI Data:
- NPI Number: 1215386115
- Provider Enumeration Date: 06/10/2016
- Last Update Date: 12/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395036701
- Enrollment ID: I20221010002853
Medical Identifiers
Medical identifiers for Michael Vernon Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215386115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 4301508144 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4301109967 (Michigan) | Secondary |
| 208000000X | Pediatrics | 4301508144 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mymichigan Medical Center West Branch | 7214251081 | 70 |
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. Michael Vernon Hollis allows following entities to bill medicare on his behalf.
| Entity Name | Mymichigan Medical Center West Branch |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538566765 PECOS PAC ID: 7214251081 Enrollment ID: O20160714002424 |
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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. Michael Vernon Hollis 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 |
Michael Vernon Hollis, MD 7351 E Osborn Rd Ste 200b, Scottsdale, AZ 85251-6451 Ph: (480) 324-7217 | Michael Vernon Hollis, MD 2431 S M 30 Ste 216, West Branch, MI 48661-9388 Ph: (989) 343-1134 |
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