Mr Kurt David Holm, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Baxter, Minnesota. He graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Nystrom And Associates Ltd and his current practice location is
13045 Falcon Dr Ste 100, Baxter, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 829-9307.
Mr Kurt David Holm is licensed to practice in Minnesota (license number 27249) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396158358.
Healthcare Provider's Profile
| Full Name | Mr Kurt David Holm |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 13045 Falcon Dr Ste 100, Baxter, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Kurt David Holm graduated from medical school in 2018
NPI Data:
- NPI Number: 1396158358
- Provider Enumeration Date: 06/08/2014
- Last Update Date: 02/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365856630
- Enrollment ID: I20210127002205
Medical Identifiers
Medical identifiers for Mr Kurt David Holm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396158358 | NPI | - | NPPES |
| 27249 | Other | MN | LICENSED INDEPENDENT CLINICAL SOCIAL WORKER |
| 302032 | Other | MN | LADC LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302032 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 27249 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nystrom And Associates Ltd | 6406752492 | 381 |
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. Mr Kurt David Holm allows following entities to bill medicare on his behalf.
| Entity Name | Nystrom & Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592 |
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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. Mr Kurt David 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 |
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Mr Kurt David Holm, LICSW, LADC
13045 Falcon Dr Ste 100,
Baxter, MN 56425-4201
Ph: (218) 829-9307 | Mr Kurt David Holm, LICSW, LADC
13045 Falcon Dr Ste 100,
Baxter, MN 56425-4201
Ph: (218) 829-9307 |
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