Kathleen Ann Holoyda, is a medicare enrolled "Plastic Surgery" physician in South Lake Tahoe, California. She went to University Of Wisconsin School Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice Barton Medical Foundation and her current practice location is
2175 South Ave, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at
(530) 543-5799.
Kathleen Ann Holoyda is licensed to practice in California (license number A129448) 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 1427348473.
Physician's Profile
| Full Name | Kathleen Ann Holoyda |
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| Gender | Female |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 15 Years |
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| Location | 2175 South Ave, South Lake Tahoe, California |
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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. |
Medical Education and Training:
- Kathleen Ann Holoyda attended and graduated from University Of Wisconsin School Of Medicine in 2011
NPI Data:
- NPI Number: 1427348473
- Provider Enumeration Date: 04/11/2011
- Last Update Date: 12/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476785734
- Enrollment ID: I20210824001804
Medical Identifiers
Medical identifiers for Kathleen Ann Holoyda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427348473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208200000X | Plastic Surgery | A129448 (California) | Primary |
| 208200000X | Plastic Surgery | 21257 (Nevada) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Barton Medical Foundation | 5395127682 | 87 |
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. Kathleen Ann Holoyda allows following entities to bill medicare on her behalf.
| Entity Name | Tahoe Carson Valley Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
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| Entity Name | Barton Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
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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. Kathleen Ann Holoyda 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 |
Kathleen Ann Holoyda, 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 541-3420 | Kathleen Ann Holoyda, 2175 South Ave, South Lake Tahoe, CA 96150-7024 Ph: (530) 543-5799 |
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