Michele A Holder, MD is a medicare enrolled "Dermatology" physician in Menasha, Wisconsin. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc and her current practice location is
1550 Midway Pl, Menasha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 727-8120.
Michele A Holder is licensed to practice in Wisconsin (license number 36239) 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 1598741803.
Physician's Profile
Full Name | Michele A Holder |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 33 Years |
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Location | 1550 Midway Pl, Menasha, Wisconsin |
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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:
- Michele A Holder attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1991
NPI Data:
- NPI Number: 1598741803
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 12/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 1850435702
- Enrollment ID: I20100216000882
Medical Identifiers
Medical identifiers for Michele A Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598741803 | NPI | - | NPPES |
32096800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 36239 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 258 |
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. Michele A Holder allows following entities to bill medicare on her behalf.
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
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Entity Name | Ascension Calumet Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
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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. Michele A Holder 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 |
Michele A Holder, MD 1550 Midway Pl, Menasha, WI 54952-1165 Ph: (920) 727-8120 | Michele A Holder, MD 1550 Midway Pl, Menasha, WI 54952-1165 Ph: (920) 727-8120 |
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