Luke Brandon Holly, PA-C - Medicare Physician Assistant in Buckley, MI

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Luke Brandon Holly, PA-C is a medicare enrolled "Physician Assistant" in Buckley, Michigan. His current practice location is 124 Navaho Trl, Buckley, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 878-8310.

Luke Brandon Holly is licensed to practice in Michigan (license number 5601008553) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619475969.

Contact Information

Luke Brandon Holly, PA-C
124 Navaho Trl,
Buckley, MI 49620-9527
(231) 878-8310
Not Available

Map and Direction




Provider's Profile

Full NameLuke Brandon Holly
GenderMale
SpecialityPhysician Assistant
Location124 Navaho Trl, Buckley, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619475969
  • Provider Enumeration Date: 01/31/2018
  • Last Update Date: 11/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971865684
  • Enrollment ID: I20180316001121

Medical Identifiers

Medical identifiers for Luke Brandon Holly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619475969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601008553 (Michigan)Primary

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. Luke Brandon Holly allows following entities to bill medicare on his behalf.
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083761860
PECOS PAC ID: 3072426287
Enrollment ID: O20040108000904
Entity NamePaul Oliver Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427054360
PECOS PAC ID: 8628964848
Enrollment ID: O20040225000359
Entity NameEcs Central Michigan PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043711930
PECOS PAC ID: 9931462132
Enrollment ID: O20180423001965
Entity NameInterlochen Emergency Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336821495
PECOS PAC ID: 3577918606
Enrollment ID: O20231010002820

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. Luke Brandon Holly 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
Luke Brandon Holly, PA-C
124 Navaho Trl,
Buckley, MI 49620-9527

Ph: (231) 878-8310		Luke Brandon Holly, PA-C
124 Navaho Trl,
Buckley, MI 49620-9527

Ph: (231) 878-8310

Reviews and Comments


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Tessa Perry, PA-C
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Practice Location: 11293 N M 37, Ste. A, Buckley, MI 49620
Phone: 231-269-4185    Fax: 231-269-4461

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.