Paul S Holley, MD is a medicare enrolled "Family Medicine" physician in Bemus Point, New York. He went to Jc Edwards School Of Medicine, Marshall University and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Chautauqua Medical Practice Pc and his current practice location is
4936 Main St, Bemus Point, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 386-2414.
Paul S Holley is licensed to practice in New York (license number 204064) 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 1225015696.
Physician's Profile
| Full Name | Paul S Holley |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 31 Years |
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| Location | 4936 Main St, Bemus Point, New York |
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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:
- Paul S Holley attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1993
NPI Data:
- NPI Number: 1225015696
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 11/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799735742
- Enrollment ID: I20050809000868
Medical Identifiers
Medical identifiers for Paul S Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225015696 | NPI | - | NPPES |
| 00010198101 | Other | NY | UNIVERA PROVIDER NUMBER |
| 0109568 | Other | NY | INDEPENDENT HEALTH |
| 000524400003 | Other | NY | BC WESTERN NY PROVIDER # |
| 01669929 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 204064 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chautauqua Medical Practice Pc | 5294920203 | 99 |
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. Paul S Holley allows following entities to bill medicare on his behalf.
| Entity Name | Chautauqua Medical Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922181767
PECOS PAC ID: 5294920203
Enrollment ID: O20101116000137 |
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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. Paul S 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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Paul S Holley, MD
4936 Main St, Po Box 470,
Bemus Point, NY 14712-9667
Ph: (716) 386-2414 | Paul S Holley, MD
4936 Main St,
Bemus Point, NY 14712-9667
Ph: (716) 386-2414 |
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