Mr Ronald R Holder, PSYD, LPC-S in Kenosha, WI

Mr Ronald R Holder, PSYD, LPC-S is a medicare enrolled "Counselor" provider in Kenosha, Wisconsin. His current practice location is 4050 33rd Avenue, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (210) 643-7064.

Mr Ronald R Holder is licensed to practice in Texas (license number 64712) 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 1265748529.

Contact Information

	Mr Ronald R Holder, PSYD, LPC-S
	4050 33rd Avenue, Kenosha, WI 53144
	(210) 643-7064
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ronald R Holder
Gender	Male
Speciality	Counselor
Location	4050 33rd Avenue, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265748529
Provider Enumeration Date: 08/25/2010
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 1052764388
Enrollment ID: I20240201004649

Medical Identifiers

Medical identifiers for Mr Ronald R Holder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265748529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	64712 (Texas)	Secondary
101YP2500X	Counselor - Professional	10822125 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	64712 (Texas)	Secondary
101Y00000X	Counselor	64712 (Texas)	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 Ronald R Holder allows following entities to bill medicare on his behalf.

Entity Name	Texas Health Virtual Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942951199 PECOS PAC ID: 5991176356 Enrollment ID: O20230121000123

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 Ronald R Holder 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
Mr Ronald R Holder, PSYD, LPC-S 901 Ne Loop 410, Suite 901, San Antonio, TX 78209 Ph: (210) 643-7064	Mr Ronald R Holder, PSYD, LPC-S 4050 33rd Avenue, Kenosha, WI 53144 Ph: (210) 643-7064

Reviews and Comments

Counselor in Kenosha, WI

La Shanda Tolefree, BA, MS Counselor Medicare: Medicare Enrolled Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024
Stephanie L Mayberry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-654-8366 Fax: 262-842-0444
Jami Lynn Pomeroy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008
Kathleen M Bullard, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4003 80th St Ste 101, Kenosha, WI 53142 Phone: 262-806-1467 Fax: 262-661-7702
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406
Jessica Martzahl, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

Mr Ronald R Holder, PSYD, LPC-S - Medicare Counselor in Kenosha, WI