Kelsey Marie Holderman, PT, DPT in Shawano, WI - Medicare Physical Therapist Provider

Kelsey Marie Holderman, PT, DPT is a medicare enrolled "Physical Therapist" provider in Shawano, Wisconsin. Her current practice location is 1250 S Evergreen St, Shawano, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 526-3107.

Kelsey Marie Holderman is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518692474.

Contact Information

	Kelsey Marie Holderman, PT, DPT
	1250 S Evergreen St, Shawano, WI 54166-3514
	(715) 526-3107
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Marie Holderman
Gender	Female
Speciality	Physical Therapist
Location	1250 S Evergreen St, Shawano, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518692474
Provider Enumeration Date: 07/23/2022
Last Update Date: 07/23/2022

Medicare PECOS Information:

PECOS PAC ID: 6901261262
Enrollment ID: I20230420002850

Medical Identifiers

Medical identifiers for Kelsey Marie Holderman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518692474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Kelsey Marie Holderman allows following entities to bill medicare on her behalf.

Provider Name	Orthopaedic Centers Of Wisconsin Sc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174977433 PECOS PAC ID: 4981679552 Enrollment ID: O20040827000278

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. Kelsey Marie Holderman 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
Kelsey Marie Holderman, PT, DPT 1250 S Evergreen St, Shawano, WI 54166-3514 Ph: () -	Kelsey Marie Holderman, PT, DPT 1250 S Evergreen St, Shawano, WI 54166-3514 Ph: (715) 526-3107

Reviews and Comments

Physical Therapist in Shawano, WI

Mark Scott Herbert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N4231 State Highway 22, Shawano, WI 54166 Phone: 715-526-3158 Fax: 715-526-6225
Breanna Marie Suess, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Cty Rd B, Shawano, WI 54166 Phone: 715-526-7370
Matthew James Osborne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 Fax: 999-999-9999
Brittany L Perkins, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294
Johanna Grover, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294
Paul Michael Theuerkauf, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 N Bartlett St, Shawano, WI 54166 Phone: 616-862-9714
Heather Beverly Sheski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294

Kelsey Marie Holderman, PT, DPT - Medicare Physical Therapist in Shawano, WI