Holly Jo Wyder, MD is a medicare enrolled "Internal Medicine" physician in Converse, Texas. Her current practice location is
8530 Fm 78, Converse, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 436-8400.
Holly Jo Wyder is licensed to practice in Texas (license number M8441) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093997488.
Physician's Profile
Full Name | Holly Jo Wyder |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 8530 Fm 78, Converse, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093997488
- Provider Enumeration Date: 11/28/2007
- Last Update Date: 01/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496812943
- Enrollment ID: I20090327000084
Medical Identifiers
Medical identifiers for Holly Jo Wyder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093997488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | M8441 (Texas) | 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. Holly Jo Wyder allows following entities to bill medicare on her behalf.
Entity Name | South Texas Continuum Of Care Specialists Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740726868 PECOS PAC ID: 9931483146 Enrollment ID: O20170308000958 |
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Entity Name | Vmd Primary Providers South Hill Country Texas, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902400880 PECOS PAC ID: 4284048646 Enrollment ID: O20210126000756 |
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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. Holly Jo Wyder 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 |
Holly Jo Wyder, MD 8530 Fm 78, Converse, TX 78109-1032 Ph: (210) 436-8400 | Holly Jo Wyder, MD 8530 Fm 78, Converse, TX 78109-1032 Ph: (210) 436-8400 |
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