Ai-xuan L Holterman, MD - Medicare Surgery in Chicago, IL

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Ai-xuan L Holterman, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Chicago, Illinois. Her current practice location is 1725 W Harrison St, Suite 818, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 942-5397.

Ai-xuan L Holterman is licensed to practice in Indiana (license number 01057253) 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 1649228032.

Contact Information

Ai-xuan L Holterman, MD
1725 W Harrison St, Suite 818,
Chicago, IL 60612-3841
(312) 942-5397
Not Available

Map and Direction




Physician's Profile

Full NameAi-xuan L Holterman
GenderFemale
SpecialitySurgery - Pediatric Surgery
Location1725 W Harrison St, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649228032
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 01/18/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1951313543
  • Enrollment ID: I20060623000131

Medical Identifiers

Medical identifiers for Ai-xuan L Holterman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649228032NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 01057253 (Indiana)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. Ai-xuan L Holterman allows following entities to bill medicare on her behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584

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. Ai-xuan L Holterman 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 AddressPractice Location Address
Ai-xuan L Holterman, MD
3926 New Vision Dr, Bldg H,
Fort Wayne, IN 46845-1712

Ph: (260) 266-8213		Ai-xuan L Holterman, MD
1725 W Harrison St, Suite 818,
Chicago, IL 60612-3841

Ph: (312) 942-5397

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.