Tyson Thomas Holm, MD in Grand Forks, ND - Medicare Internal Medicine

Tyson Thomas Holm, MD is a medicare enrolled "Internal Medicine" physician in Grand Forks, North Dakota. His current practice location is 1200 S Columbia Rd, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 780-5000.

Tyson Thomas Holm is licensed to practice in North Dakota (license number 18789) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366001323.

Contact Information

	Tyson Thomas Holm, MD
	1200 S Columbia Rd, Grand Forks, ND 58201
	(701) 780-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Tyson Thomas Holm
Gender	Male
Speciality	Internal Medicine
Location	1200 S Columbia Rd, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366001323
Provider Enumeration Date: 06/12/2019
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 4688906308
Enrollment ID: I20220913003091

Medical Identifiers

Medical identifiers for Tyson Thomas Holm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366001323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	8511 (Nebraska)	Secondary
207R00000X	Internal Medicine	18789 (North Dakota)	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. Tyson Thomas Holm allows following entities to bill medicare on his behalf.

Entity Name	Altru Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714

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. Tyson Thomas Holm 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
Tyson Thomas Holm, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891	Tyson Thomas Holm, MD 1200 S Columbia Rd, Grand Forks, ND 58201 Ph: (701) 780-5000

Reviews and Comments

Internal Medicine Doctors in Grand Forks, ND

Iqbal Masood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300
Dr. Marcin Szember, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 S. Washington St. - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000
Antranik Mangardich, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300
Leslie M Klevay, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Und Box 9037 Ppt, Grand Forks, ND 58201 Phone: 701-777-0000
James Rese Wood, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 Fax: 612-870-5857
Robert A Thompson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000
Daniel J Walsh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000

Tyson Thomas Holm, MD - Medicare Internal Medicine in Grand Forks, ND