Holly E Korsvik-wysocki, MD - Medicare Radiology in Potomac, MD

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Holly E Korsvik-wysocki, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Potomac, Maryland. Her current practice location is 11913 Tallwood Ct, Potomac, Maryland. You can reach out to her office (for appointments etc.) via phone at (952) 595-1100.

Holly E Korsvik-wysocki is licensed to practice in Maryland (license number DOO47863) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619948494.

Contact Information

Holly E Korsvik-wysocki, MD
11913 Tallwood Ct,
Potomac, MD 20854-2169
(952) 595-1100
(612) 294-4903

Map and Direction




Physician's Profile

Full NameHolly E Korsvik-wysocki
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location11913 Tallwood Ct, Potomac, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619948494
  • Provider Enumeration Date: 01/30/2006
  • Last Update Date: 06/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9638347222
  • Enrollment ID: I20110726000834

Medical Identifiers

Medical identifiers for Holly E Korsvik-wysocki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619948494NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology DOO47863 (Maryland)Primary
2085P0229XRadiology - Pediatric Radiology D47863 (Maryland)Secondary

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. Holly E Korsvik-wysocki allows following entities to bill medicare on her behalf.
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20100803000416
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20151117000390
Entity NameRadiology Alliance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20161028001371

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. Holly E Korsvik-wysocki 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
Holly E Korsvik-wysocki, MD
11995 Singletree Ln, Suite 500,
Eden Prairie, MN 55344-5347

Ph: (952) 595-1301		Holly E Korsvik-wysocki, MD
11913 Tallwood Ct,
Potomac, MD 20854-2169

Ph: (952) 595-1100

Reviews and Comments


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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.