| Dr Todd H Holm, MD | |
|
16276 Lakeside Ave Se, Prior Lake, MN 55372-2493 | |
| (952) 237-2627 | |
| Not Available |
| Full Name | Dr Todd H Holm |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 16276 Lakeside Ave Se, Prior Lake, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811971179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33633-20 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 37742 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Of The Twin Cities | Roseville, MN | Home health agency |
| Minnesota Hospice Llc | Lakeville, MN | Hospice |
| St Croix Hospice | Oakdale, MN | Hospice |
| Serenity Hospice Care | Germantown, WI | Hospice |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bluestone Physician Services Pa | 4486658333 | 54 |
| Bluestone Physician Services Wisconsin Sc | 7719296789 | 26 |
| Entity Name | Bluestone Physician Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578595971 PECOS PAC ID: 4486658333 Enrollment ID: O20060907000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Todd H Holm, MD 16276 Lakeside Ave Se, Prior Lake, MN 55372-2493 Ph: (952) 237-2627 | Dr Todd H Holm, MD 16276 Lakeside Ave Se, Prior Lake, MN 55372-2493 Ph: (952) 237-2627 |
Karen Marie Weiler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Dr. Scott Edward Wavinak, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Troy A Scott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Jessica A Vanderscoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Doreen Lubi Isubikalu, Family Medicine Medicare: Medicare Enrolled Practice Location: 2330 Sioux Trail Nw, Prior Lake, MN 55372 Phone: 952-496-6150 | |
Daniel Trajano, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372 Phone: 952-993-7750 | |
Dr. Samuel Asante-buabeng, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372 Phone: 952-993-7750 Fax: 952-993-8820 |