Natalie S Roholt, MD is a medicare enrolled "Dermatology" physician in Bemidji, Minnesota. Her current practice location is
1611 Anne St Nw, Bemidji, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 333-2020.
Natalie S Roholt is licensed to practice in Minnesota (license number 38310) 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 1215958434.
Physician's Profile
Full Name | Natalie S Roholt |
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Gender | Female |
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Speciality | Dermatology |
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Location | 1611 Anne St Nw, Bemidji, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215958434
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 03/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234326406
- Enrollment ID: I20101214000771
Medical Identifiers
Medical identifiers for Natalie S Roholt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215958434 | NPI | - | NPPES |
250327100 | Medicaid | MN | |
18541 | Medicaid | ND | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 38310 (Minnesota) | Primary |
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. Natalie S Roholt allows following entities to bill medicare on her behalf.
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
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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. Natalie S Roholt 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 |
Natalie S Roholt, MD 1611 Anne St Nw, Bemidji, MN 56601-5114 Ph: (218) 333-2020 | Natalie S Roholt, MD 1611 Anne St Nw, Bemidji, MN 56601-5114 Ph: (218) 333-2020 |
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