Dr Bruce Holder, PHD in Upland, IN - Medicare Counselor Provider

Dr Bruce Holder, PHD is a medicare enrolled "Counselor - Mental Health" provider in Upland, Indiana. 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 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 1639701279.

Contact Information

	Dr Bruce Holder, PHD
	525 S Main St, Upland, IN 46989-9101
	(765) 298-9315
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bruce Holder
Gender	Male
Speciality	Counselor - Mental Health
Location	525 S Main St, Upland, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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

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
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726

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

Reviews and Comments

Counselor in Upland, IN

Hope Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 W Wright Ave, Upland, IN 46989 Phone: 765-997-8460
Jenny Norton Schamber, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 9164 E 825 S, Upland, IN 46989 Phone: 765-506-6462
Mrs. Molly Elizabeth Finnegan, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 253 Spencer Ave Apt 18, Upland, IN 46989 Phone: 219-714-7147
Troy Frederick Tiberi, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 63 N Main St, Upland, IN 46989 Phone: 765-808-8599

Dr Bruce Holder, PHD - Medicare Counselor in Upland, IN