Mark Westholder, - Medicare Family Practice in Shakopee, MN

Mark Westholder, is a medicare enrolled "Family Medicine" physician in Shakopee, Minnesota. He went to University Of Minnesota Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Park Nicollet Clinic and his current practice location is 1415 Saint Francis Ave, Shakopee, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-7800.

Mark Westholder is licensed to practice in Minnesota (license number 40836) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023095775.

Contact Information

Mark Westholder,
1415 Saint Francis Ave,
Shakopee, MN 55379-3374
(952) 993-7800
Not Available

Map and Direction




Physician's Profile

Full NameMark Westholder
GenderMale
SpecialityFamily Practice
Experience27 Years
Location1415 Saint Francis Ave, Shakopee, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Westholder attended and graduated from University Of Minnesota Medical School in 1997
  NPI Data:
  • NPI Number: 1023095775
  • Provider Enumeration Date: 12/23/2005
  • Last Update Date: 03/08/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8527094176
  • Enrollment ID: I20050714000520

Medical Identifiers

Medical identifiers for Mark Westholder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023095775NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 40836 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital
St Francis Regional Medical CenterShakopee, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381529

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. Mark Westholder allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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. Mark Westholder 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
Mark Westholder,
3800 Park Nicollet Blvd, Credentialing,
Minneapolis, MN 55416-2527

Ph: () -
Mark Westholder,
1415 Saint Francis Ave,
Shakopee, MN 55379-3374

Ph: (952) 993-7800

Reviews and Comments


Family Medicine Doctors in Shakopee, MN

Kristin A Witte, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7750    
Dr. Trevor L Busch, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7750    
Nancy M O Connor, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379
Phone: 952-428-3535    Fax: 952-428-3599
Donald Lynch,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7800    
Robert John Nicholson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379
Phone: 952-428-3535    Fax: 952-428-3599
Dr. Daniel W Hauschulz, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7750    Fax: 952-993-7835

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.