Mr Matthew Joseph Holkup, LADC, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Maplewood, Minnesota. His current practice location is
1856 Beam Ave Ste 200, Maplewood, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 661-6550.
Mr Matthew Joseph Holkup is licensed to practice in Minnesota (license number 18890) 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 1417232505.
Healthcare Provider's Profile
| Full Name | Mr Matthew Joseph Holkup |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1856 Beam Ave Ste 200, Maplewood, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417232505
- Provider Enumeration Date: 10/20/2011
- Last Update Date: 01/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921489790
- Enrollment ID: I20220726000646
Medical Identifiers
Medical identifiers for Mr Matthew Joseph Holkup such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417232505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 303057 (Minnesota) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1636 (North Dakota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 18890 (Minnesota) | 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. Mr Matthew Joseph Holkup 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 Matthew Joseph Holkup 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 Matthew Joseph Holkup, LADC, LICSW
1856 Beam Ave Ste 200,
Maplewood, MN 55109-1162
Ph: (651) 661-6550 | Mr Matthew Joseph Holkup, LADC, LICSW
1856 Beam Ave Ste 200,
Maplewood, MN 55109-1162
Ph: (651) 661-6550 |
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