Sara Julsrud Holtman, PSYD is a medicare enrolled "Psychologist" provider in Bloomington, Minnesota. Her current practice location is
1801 American Blvd E Ste 8, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 767-2267.
Sara Julsrud Holtman is licensed to practice in Minnesota (license number LP6830) 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 1609276260.
Healthcare Provider's Profile
Full Name | Sara Julsrud Holtman |
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Gender | Female |
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Speciality | Psychologist |
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Location | 1801 American Blvd E Ste 8, Bloomington, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609276260
- Provider Enumeration Date: 09/01/2014
- Last Update Date: 10/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113393836
- Enrollment ID: I20221021000604
Medical Identifiers
Medical identifiers for Sara Julsrud Holtman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609276260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LH60511087 (Washington) | Secondary |
103T00000X | Psychologist | LP6830 (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. Sara Julsrud Holtman allows following entities to bill medicare on her behalf.
Entity Name | Fraser Child And Family Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399 |
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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. Sara Julsrud Holtman 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 |
Sara Julsrud Holtman, PSYD 26822 Lofton Ave, Chisago City, MN 55013-9759 Ph: (701) 330-5211 | Sara Julsrud Holtman, PSYD 1801 American Blvd E Ste 8, Bloomington, MN 55425-1230 Ph: (952) 767-2267 |
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