Jordan William Holm, PT in Monument, CO - Medicare Physical Therapist Provider

Jordan William Holm, PT is a medicare enrolled "Physical Therapist" provider in Monument, Colorado. His current practice location is 16055 Old Forest Pt Ste 101b, Monument, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 247-8916.

Jordan William Holm is licensed to practice in Colorado (license number 0019888) 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 1689416216.

Contact Information

	Jordan William Holm, PT
	16055 Old Forest Pt Ste 101b, Monument, CO 80132-8670
	(719) 247-8916
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan William Holm
Gender	Male
Speciality	Physical Therapist
Location	16055 Old Forest Pt Ste 101b, Monument, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689416216
Provider Enumeration Date: 06/12/2024
Last Update Date: 06/12/2024

Medicare PECOS Information:

PECOS PAC ID: 4183163595
Enrollment ID: I20240829002442

Medical Identifiers

Medical identifiers for Jordan William Holm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689416216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	0019888 (Colorado)	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. Jordan William Holm allows following entities to bill medicare on his behalf.

Provider Name	Northgate Physical Therapy, P.c.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1942548839 PECOS PAC ID: 9133536428 Enrollment ID: O20210405000205

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. Jordan William 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
Jordan William Holm, PT 16055 Old Forest Pt Ste 101b, Monument, CO 80132-8670 Ph: (719) 247-8916	Jordan William Holm, PT 16055 Old Forest Pt Ste 101b, Monument, CO 80132-8670 Ph: (719) 247-8916

Reviews and Comments

Physical Therapist in Monument, CO

Norma Brough, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18565 Arrowwood Dr, Monument, CO 80132 Phone: 719-488-0344 Fax: 719-488-0344
Rebecca Story Dunbar, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16055 Old Forest Pt, Suite 101b, Monument, CO 80132 Phone: 719-247-8916 Fax: 719-247-8930
Ana-marie Joy Nelson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17230 Jackson Creek Pkwy Ste 220, Monument, CO 80132 Phone: 719-488-3348
Mr. Christopher S Dahl, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15909 Jackson Creek Pkwy Ste 105, Monument, CO 80132 Phone: 719-481-0899 Fax: 719-481-0897
Kandra Kay Lovato, B.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1889 Woodmoor Dr., Monument, CO 80132 Phone: 719-481-6868 Fax: 719-481-6877
Kayla Bell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1889 Woodmoor Dr, Monument, CO 80132 Phone: 719-481-6868 Fax: 719-481-6877
Hannah Patrice Brigger, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15756 Jackson Creek Pkwy, Monument, CO 80132 Phone: 719-481-0899 Fax: 719-481-0897

Jordan William Holm, PT - Medicare Physical Therapist in Monument, CO