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 42 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.
Physician's Profile
| Full Name | Dr Susan M Holt |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 42 Years |
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| Location | 6425 Nicollet Ave, Richfield, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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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.
| Identifier | Type | State | Issuer |
|---|
| 1932201639 | NPI | - | NPPES |
| 137592000 | Medicaid | MN | |
| 492003 | Other | MN | PREFERRED ONE |
| 49637HO | Other | MN | BLUE CROSS BLUE SHIELD |
| HP13424 | Other | MN | HEALTH PARTNERS |
| 100189 | Other | MN | U CARE |
| 0316269 | Other | MN | MEDICA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 30007 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Park Nicollet Clinic | 7911819438 | 1778 |
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 Name | Park Nicollet Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417 |
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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 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 Address | Practice Location Address |
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Dr Susan M Holt, MD
8170 33rd Ave S,
Bloomington, MN 55425-4516
Ph: Not Available | Dr Susan M Holt, MD
6425 Nicollet Ave, Suite 202,
Richfield, MN 55423-1668
Ph: (612) 869-2086 |
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