HOLLY K MATHEWS PA-C
NPI 1609810662
Physician Assistant in Warren, MI

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5000 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holly K Mathews Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY K MATHEWS PA-C (NPI 1609810662) is an individual physician assistant in Warren, Michigan, licensed in Michigan (5601005911) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1609810662
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY K MATHEWSCredential: PA-C
Location Address11800 E 12 MILE RDWarren, MI 48093-3472
Mailing Address11800 E 12 Mile RdWarren, MI 48093-3472
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 16, 2006
Last NPPES UpdateJanuary 27, 2011
NPI 1609810662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601005911
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11800 E 12 MILE RD, Warren, MI 48093

Other Identifiers 3

Medicaid0326PASC
Medicare UPINQ39719SC
Medicare PINAA08066207

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Holly K Mathews Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456308063
PECOS Enrollment IDI20111025000034
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
11800 E 12 MILE RD
WARREN, MI 48093
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Anesthesiology
11800 E 12 MILE RD, ANESTHESIA DEPARTMENT
WARREN, MI 48093
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Anesthesiology
11800 E 12 MILE RD
WARREN, MI 48093
Anesthesiology
11800 E 12 MILE RD
WARREN, MI 48093
Anesthesiology
11800 E 12 MILE RD
WARREN, MI 48093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609810662, enumerated as an "individual" on June 16, 2006.

The provider is located at 11800 E 12 MILE RD WARREN, MI 48093 and the phone number is (586) 573-5000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC,. Please consult your insurance carrier or call the provider to verify.