Dr Kristen Elaine Holderle, PHD in Pittsford, NY - Medicare Clinical Psychologist Provider

Dr Kristen Elaine Holderle, PHD is a medicare enrolled "Psychologist" provider in Pittsford, New York. She graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice University Of Rochester Department Of Psychiatry Clinical Group and her current practice location is 1175 Pittsford Victor Rd, Suite 100, Pittsford, New York. You can reach out to her office (for appointments etc.) via phone at (585) 797-7084.

Dr Kristen Elaine Holderle is licensed to practice in New York (license number 016808) 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 1356420939.

Contact Information

	Dr Kristen Elaine Holderle, PHD
	1175 Pittsford Victor Rd, Suite 100, Pittsford, NY 14534-3811
	(585) 797-7084
	(844) 626-2450

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kristen Elaine Holderle
Gender	Female
Speciality	Clinical Psychologist
Experience	20 Years
Location	1175 Pittsford Victor Rd, Pittsford, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kristen Elaine Holderle graduated from medical school in 2005

NPI Data:

NPI Number: 1356420939
Provider Enumeration Date: 11/03/2006
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 7416231477
Enrollment ID: I20170313000406

Medical Identifiers

Medical identifiers for Dr Kristen Elaine Holderle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356420939	NPI	-	NPPES
18954FC	Other	NY	PREFERRED CARE
7161860	Other	NY	AETNA
P010016808	Other	NY	EXCELLUS ROCHESTER REGION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	16808 (New York)	Secondary
103T00000X	Psychologist	016808 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Rochester Department Of Psychiatry Clinical Group	3173420429	61

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. Dr Kristen Elaine Holderle allows following entities to bill medicare on her behalf.

Entity Name	University Of Rochester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019

Entity Name	University Of Rochester Department Of Psychiatry Clinical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326088808 PECOS PAC ID: 3173420429 Enrollment ID: O20031216000276

Entity Name	Adult Complex Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053778654 PECOS PAC ID: 6002107760 Enrollment ID: O20160628000597

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. Dr Kristen Elaine Holderle 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
Dr Kristen Elaine Holderle, PHD 1175 Pittsford Victor Rd, Suite 100, Pittsford, NY 14534-3811 Ph: (585) 797-7084	Dr Kristen Elaine Holderle, PHD 1175 Pittsford Victor Rd, Suite 100, Pittsford, NY 14534-3811 Ph: (585) 797-7084

Reviews and Comments

Psychologist in Pittsford, NY

Dr. Mark Gregory Brogan, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 40a Grove St # A, Pittsford, NY 14534 Phone: 585-234-9494 Fax: 585-383-0820
Dr. Jane E. Runion, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 10 Office Park Way, Pittsford, NY 14534 Phone: 585-383-1040 Fax: 585-586-5512
Dr. Mary E. Olsen-lanzafame, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 121 Sullys Trl, Suite 5, Pittsford, NY 14534 Phone: 585-732-5310 Fax: 585-495-2146
Dr. Nicholas Holub, PSYD, MSW Psychologist Medicare: Medicare Enrolled Practice Location: 30 Office Park Way Ste 1, Pittsford, NY 14534 Phone: 585-673-2002 Fax: 585-203-1927
Dr. Marcy Ann Bush, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: One Lookwood Drive, Suite 100, Pittsford, NY 14534 Phone: 585-383-0030 Fax: 585-383-1858
Dr. James David Kestenbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29 Cambric Cir, Pittsford, NY 14534 Phone: 585-507-9908
Linda Mccabe, PYSD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4 Westin Ct, Pittsford, NY 14534 Phone: 415-335-2596

Dr Kristen Elaine Holderle, PHD - Medicare Psychologist in Pittsford, NY