Stephen Holtsford, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Saint Charles, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1993 and has 32 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lighthouse Recovery, County Of Dupage Department Of Health and his current practice location is
210 S 5th St Ste 10, Saint Charles, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 940-2468.
Stephen Holtsford is licensed to practice in Illinois (license number 036091535) 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 1801979463.
Physician's Profile
| Full Name | Stephen Holtsford |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 32 Years |
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| Location | 210 S 5th St Ste 10, Saint Charles, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stephen Holtsford attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1993
NPI Data:
- NPI Number: 1801979463
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466448329
- Enrollment ID: I20110209000111
Medical Identifiers
Medical identifiers for Stephen Holtsford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801979463 | NPI | - | NPPES |
| 451530938 | Other | IL | BLUE SHIELD |
| 930061957 | Other | IL | RAILROAD MEDICARE |
| 036091535 5 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 036091535 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lighthouse Recovery | 6305287343 | 3 |
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| County Of Dupage Department Of Health | 4981695103 | 32 |
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. Stephen Holtsford allows following entities to bill medicare on his behalf.
| Entity Name | Lighthouse Recovery |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700246139 PECOS PAC ID: 6305287343 Enrollment ID: O20240508003027 |
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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. Stephen Holtsford 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 |
Stephen Holtsford, MD Po Box 9030, Wheeling, IL 60090-9030 Ph: (847) 495-1617 | Stephen Holtsford, MD 210 S 5th St Ste 10, Saint Charles, IL 60174-2700 Ph: (630) 940-2468 |
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