Dr Ken V Holt, DO - Medicare Obstetrics/gynecology in Lander, WY

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Dr Ken V Holt, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Lander, Wyoming. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2000 and has 25 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Memorial Hospital Of Sweetwater County, Lake Regional Health System and his current practice location is 125 Wyoming St, Lander, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 206-1330.

Dr Ken V Holt is licensed to practice in Wyoming (license number 13534A) 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 1104894047.

Contact Information

Dr Ken V Holt, DO
125 Wyoming St,
Lander, WY 82520-3919
(307) 206-1330
(307) 206-1331

Map and Direction




Physician's Profile

Full NameDr Ken V Holt
GenderMale
SpecialityObstetrics/gynecology
Experience25 Years
Location125 Wyoming St, Lander, Wyoming
Accepts Medicare AssignmentsYes. 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 Ken V Holt attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2000
  NPI Data:
  • NPI Number: 1104894047
  • Provider Enumeration Date: 03/08/2006
  • Last Update Date: 05/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557390424
  • Enrollment ID: I20210506001563

Medical Identifiers

Medical identifiers for Dr Ken V Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104894047NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 2005020340 (Missouri)Secondary
207V00000XObstetrics & Gynecology 13534A (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Regional Health SystemOsage beach, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital Of Sweetwater County024412455061
Lake Regional Health System9133026776114

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 Ken V Holt allows following entities to bill medicare on his behalf.
Entity NameWest Park Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558351536
PECOS PAC ID: 7315855624
Enrollment ID: O20040127000865
Entity NameMemorial Hospital Of Sweetwater County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558361949
PECOS PAC ID: 0244124550
Enrollment ID: O20040209000957
Entity NameMemorial Hospital Of Sweetwater County
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1558361949
PECOS PAC ID: 0244124550
Enrollment ID: O20230717002172

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 Ken V Holt 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 AddressPractice Location Address
Dr Ken V Holt, DO
125 Wyoming St,
Lander, WY 82520-3919

Ph: (307) 206-1330		Dr Ken V Holt, DO
125 Wyoming St,
Lander, WY 82520-3919

Ph: (307) 206-1330

Reviews and Comments


Obstetrics & Gynecology Doctors in Lander, WY

Dr. James Clayton Brubaker, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 745 Buena Vista Dr, Lander, WY 82520
Phone: 307-332-2941    Fax: 307-332-2068
Thomas E Dunaway, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 535 E Main St Ste A, Lander, WY 82520
Phone: 307-335-7720    Fax: 307-335-7723
Ali Sue Haines Weiss, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1320 Bishop Randall Dr, Lander, WY 82520
Phone: 307-332-4420    
Dr. Karla Lee Wagner, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 745 Buena Vista Dr, Lander, WY 82520
Phone: 307-332-2941    Fax: 307-332-2068
Jan K. Siebersma, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 745 Buena Vista Dr, Lander, WY 82520
Phone: 307-332-2941    Fax: 307-332-1920

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.