Tonya D Buchholz, CNP - Medicare Nurse Practitioner in Madison, SD

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Tonya D Buchholz, CNP is a medicare enrolled "Nurse Practitioner" in Madison, South Dakota. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice City Of Brookings and her current practice location is 323 Sw 10th Street, Madison, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 256-6551.

Tonya D Buchholz is licensed to practice in South Dakota (license number CP000546) 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 1538311352.

Contact Information

Tonya D Buchholz, CNP
323 Sw 10th Street,
Madison, SD 57042-3200
(605) 256-6551
(605) 256-6469

Map and Direction




Provider's Profile

Full NameTonya D Buchholz
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location323 Sw 10th Street, Madison, South Dakota
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:
  • Tonya D Buchholz graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1538311352
  • Provider Enumeration Date: 10/13/2008
  • Last Update Date: 01/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5799847208
  • Enrollment ID: I20081217000460

Medical Identifiers

Medical identifiers for Tonya D Buchholz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538311352NPI-NPPES
6831610MedicaidSD
P00664632OtherSDRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner CP000546 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Brookings Health SystemBrookings, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
City Of Brookings105230710585

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. Tonya D Buchholz allows following entities to bill medicare on her behalf.
Entity NameCity Of Brookings
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932281029
PECOS PAC ID: 1052307105
Enrollment ID: O20040423000002
Entity NameMadison Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588644058
PECOS PAC ID: 3779579743
Enrollment ID: O20040423000982
Entity NameMadison Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1588644058
PECOS PAC ID: 3779579743
Enrollment ID: O20101012001097

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. Tonya D Buchholz 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
Tonya D Buchholz, CNP
323 Sw 10th Street,
Madison, SD 57042-3200

Ph: (605) 256-6551		Tonya D Buchholz, CNP
323 Sw 10th Street,
Madison, SD 57042-3200

Ph: (605) 256-6551

Reviews and Comments


Nurse Practitioner Nurses in Madison, SD

Mrs. Jackie Joanne Bau, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 323 Sw 10th St, Madison, SD 57042
Phone: 605-256-6551    
Amber Jean Johnson, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 323 Sw 10th St, Madison, SD 57042
Phone: 605-256-6551    Fax: 605-256-6469
Lindsay R Symens, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 323 Sw 10th St, Madison, SD 57042
Phone: 605-256-6551    Fax: 605-256-6469

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.