Mr Mark W Hollo, PA is a medicare enrolled "Physician Assistant" in Hildebran, North Carolina. His current practice location is
107 S Center St, Hildebran, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 397-3522.
Mr Mark W Hollo is licensed to practice in North Carolina (license number 101273) 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 1770514291.
Provider's Profile
| Full Name | Mr Mark W Hollo |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 107 S Center St, Hildebran, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770514291
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 09/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 0042341463
- Enrollment ID: I20100629000744
Medical Identifiers
Medical identifiers for Mr Mark W Hollo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770514291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 101273 (North Carolina) | 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. Mr Mark W Hollo allows following entities to bill medicare on his behalf.
| Entity Name | Urgent Care of Mountain View PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760767446
PECOS PAC ID: 8022284355
Enrollment ID: O20120109000015 |
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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. Mr Mark W Hollo 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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Mr Mark W Hollo, PA
Po Box 829,
Hildebran, NC 28637-0829
Ph: (828) 397-3522 | Mr Mark W Hollo, PA
107 S Center St,
Hildebran, NC 28637-8304
Ph: (828) 397-3522 |
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