Dr Susan M Holt, MD - Medicare Dermatology in Richfield, MN

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Dr Susan M Holt, MD is a medicare enrolled "Dermatology" physician in Richfield, Minnesota. She went to University Of Minnesota Medical School and graduated in 1984 and has 41 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Park Nicollet Clinic and her current practice location is 6425 Nicollet Ave, Suite 202, Richfield, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 869-2086.

Dr Susan M Holt is licensed to practice in Minnesota (license number 30007) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932201639.

Contact Information

Dr Susan M Holt, MD
6425 Nicollet Ave, Suite 202,
Richfield, MN 55423-1668
(612) 869-2086
(612) 869-4903

Map and Direction




Physician's Profile

Full NameDr Susan M Holt
GenderFemale
SpecialityDermatology
Experience41 Years
Location6425 Nicollet Ave, Richfield, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Susan M Holt attended and graduated from University Of Minnesota Medical School in 1984
  NPI Data:
  • NPI Number: 1932201639
  • Provider Enumeration Date: 09/02/2006
  • Last Update Date: 03/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628136579
  • Enrollment ID: I20081021000446

Medical Identifiers

Medical identifiers for Dr Susan M Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932201639NPI-NPPES
492003OtherMNPREFERRED ONE
HP13424OtherMNHEALTH PARTNERS
137592000MedicaidMN
100189OtherMNU CARE
49637HOOtherMNBLUE CROSS BLUE SHIELD
0316269OtherMNMEDICA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 30007 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381611

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 Susan M Holt allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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 Susan M 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 Susan M Holt, MD
8170 33rd Ave S,
Bloomington, MN 55425-4516

Ph: () -		Dr Susan M Holt, MD
6425 Nicollet Ave, Suite 202,
Richfield, MN 55423-1668

Ph: (612) 869-2086

Reviews and Comments


Dermatology Doctors in Richfield, MN

Dr. David William Groth, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6425 Nicollet Ave, Suite # 202, Richfield, MN 55423
Phone: 612-869-2086    Fax: 612-869-4903
Elliot Daniel Backer, PA-C
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6425 Nicollet Ave Ste 202, Richfield, MN 55423
Phone: 612-869-2086    

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.