Alfred John Holm, MD in Ocean Shores, WA - Medicare Family Medicine

Alfred John Holm, MD is a medicare enrolled "Family Medicine" physician in Ocean Shores, Washington. His current practice location is 597 Point Brown Ave Nw, Ocean Shores, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 289-4151.

Alfred John Holm is licensed to practice in Washington (license number MD00042371) 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 1326123555.

Contact Information

	Alfred John Holm, MD
	597 Point Brown Ave Nw, Ocean Shores, WA 98569
	(360) 289-4151
	(360) 289-4693

Map and Direction

Physician's Profile

Full Name	Alfred John Holm
Gender	Male
Speciality	Family Medicine
Location	597 Point Brown Ave Nw, Ocean Shores, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326123555
Provider Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4789580333
Enrollment ID: I20150209001096

Medical Identifiers

Medical identifiers for Alfred John Holm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326123555	NPI	-	NPPES
1118736	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD00042371 (Washington)	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. Alfred John Holm allows following entities to bill medicare on his behalf.

Entity Name	Mercy Hospital Of Devils Lake
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790751170 PECOS PAC ID: 9537128681 Enrollment ID: O20041005001141

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. Alfred John 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
Alfred John Holm, MD Po Box 1569, Ocean Shores, WA 98569-1569 Ph: (360) 289-4151	Alfred John Holm, MD 597 Point Brown Ave Nw, Ocean Shores, WA 98569 Ph: (360) 289-4151

Alfred John Holm, MD - Medicare Family Medicine in Ocean Shores, WA