Hospice of Holland, Inc
A Medicare group practice based in Holland, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9133132970), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9133132970
- Provider type
- Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060724000106 | MI | Part B Supplier - Clinic/Group Practice | 1194792259 |
| O20090917000429 | MI | Part A Provider - Hospice | 1194792259 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Hospice of Holland, Inc
dba Hospice of Holland
- Community Based Hospice Care Agency
- Holland, MI
- NPI 1194792259
-
Hospice of Holland, Inc.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Holland, MI
- NPI 1003243908
Practice locations
- Holland, MI2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (3).
-
Alice M Emery, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Holland, MI
- NPI 1174692420
-
Lizabeth Shannon Giles, DO
- Hospice and Palliative Medicine (Family Medicine) Physician
- Grand Rapids, MI
- NPI 1881045839
-
Erin Kucharek, A-GNP-C
- Primary Care Nurse Practitioner
- Grand Rapids, MI
- NPI 1114522471
-
Emily Lauren Malvar, AGNP, DNP
- Nurse Practitioner
- Holland, MI
- NPI 1629673280
-
Mark Andrew Stid, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Holland, MI
- NPI 1740243369
-
Tod Wyn, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Holland, MI
- NPI 1073537403
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.