Saundra Holseth, DO - Medicare Sports Medicine in Lakeland, FL

Saundra Holseth, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Lakeland, Florida. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Sports Medicine. She is a member of the group practice Michelle Henne Md Pa and her current practice location is 5421 S Florida Ave, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 401-4401.

Saundra Holseth is licensed to practice in Florida (license number OS14412) 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 1043601842.

Contact Information

Saundra Holseth, DO
5421 S Florida Ave,
Lakeland, FL 33813-2523
(863) 401-4401
(866) 824-2717

Map and Direction




Physician's Profile

Full NameSaundra Holseth
GenderFemale
SpecialitySports Medicine
Experience11 Years
Location5421 S Florida Ave, Lakeland, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Saundra Holseth graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1043601842
  • Provider Enumeration Date: 02/15/2015
  • Last Update Date: 08/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4587949656
  • Enrollment ID: I20170403000835

Medical Identifiers

Medical identifiers for Saundra Holseth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043601842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS14412 (Florida)Secondary
207QS0010XFamily Medicine - Sports Medicine OS14412 (Florida)Primary
207QS0010XFamily Medicine - Sports Medicine 85870 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth Lake WalesLake wales, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Michelle Henne Md Pa30728854332

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. Saundra Holseth allows following entities to bill medicare on her behalf.
Entity NameMD Now Medical Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033195474
PECOS PAC ID: 3971554825
Enrollment ID: O20050208000625
Entity NameMichelle Henne MD PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962938894
PECOS PAC ID: 3072885433
Enrollment ID: O20170818002035
Entity NameTrinity Medical Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225652878
PECOS PAC ID: 9234554643
Enrollment ID: O20200803000585
Entity NameImg Medical Group De PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720708589
PECOS PAC ID: 4789044348
Enrollment ID: O20230714002106

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. Saundra Holseth 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
Saundra Holseth, DO
475 E Central Ave,
Winter Haven, FL 33880-3051

Ph: (863) 401-4401
Saundra Holseth, DO
5421 S Florida Ave,
Lakeland, FL 33813-2523

Ph: (863) 401-4401

Reviews and Comments


Family Medicine Doctors in Lakeland, FL

Danton Manabat Sun, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-680-7190    Fax: 866-264-8519
Dr. Luis Clyde Favilli, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3650 Innovation Dr, Lakeland, FL 33812
Phone: 860-709-1968    Fax: 863-701-2151
Dr. Phung Dinh Phan, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1625 Shepherd Rd, Lakeland, FL 33811
Phone: 863-284-1626    
Alex I Garriga, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6721 Crescent Lake Dr, Lakeland, FL 33813
Phone: 863-644-4547    Fax: 863-701-9453
Dr. Avantica Gondi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1818 Harden Blvd Ste 120, Lakeland, FL 33803
Phone: 863-210-5640    Fax: 863-210-5716
Dr. Yi Chen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-687-1100    
Dr. Saira Naseer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4435 Us Highway 98 N, Lakeland, FL 33809
Phone: 863-858-8000    Fax: 877-531-4854

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.