Dr Bruce Holder, PHD is a medicare enrolled "Counselor - Mental Health" provider in Upland, Indiana. He graduated from healthcare school in 2007 and has 18 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Extended Care Specialists, Inc and his current practice location is
525 S Main St, Upland, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 298-9315.
Dr Bruce Holder is licensed to practice in Indiana (license number 39000465A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639701279.
Healthcare Provider's Profile
| Full Name | Dr Bruce Holder |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 18 Years |
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| Location | 525 S Main St, Upland, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Bruce Holder graduated from medical school in 2007
NPI Data:
- NPI Number: 1639701279
- Provider Enumeration Date: 02/11/2020
- Last Update Date: 02/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820433402
- Enrollment ID: I20240305003614
Medical Identifiers
Medical identifiers for Dr Bruce Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639701279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 39000465A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Extended Care Specialists, Inc | 2466407713 | 271 |
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. Dr Bruce Holder allows following entities to bill medicare on his behalf.
| Entity Name | Extended Care Specialists, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726 |
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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. Dr Bruce Holder 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 |
Dr Bruce Holder, PHD 525 S Main St, Upland, IN 46989-9101 Ph: (765) 997-1945 | Dr Bruce Holder, PHD 525 S Main St, Upland, IN 46989-9101 Ph: (765) 298-9315 |
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