Dr Leonard Peter Holmgren, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in S Lake Tahoe, California. He went to Tufts University School Of Medicine and graduated in 1994 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Sierra Nevada Medical Imaging, Sierra Nevada Medical Imaging and his current practice location is
2170 South Ave, S Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at
(530) 543-5850.
Dr Leonard Peter Holmgren is licensed to practice in California (license number G86132) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114906088.
Physician's Profile
| Full Name | Dr Leonard Peter Holmgren |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 31 Years |
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| Location | 2170 South Ave, S Lake Tahoe, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Leonard Peter Holmgren attended and graduated from Tufts University School Of Medicine in 1994
NPI Data:
- NPI Number: 1114906088
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 08/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 8022168475
- Enrollment ID: I20100811000672
Medical Identifiers
Medical identifiers for Dr Leonard Peter Holmgren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114906088 | NPI | - | NPPES |
| 1114906088 | Medicaid | CA | |
| 300127929 | Other | CA | RAILROAD MEDICARE |
| 1114906088 | Medicaid | NV | |
| 300127927 | Other | NV | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 9846 (Nevada) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | G86132 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sierra Nevada Medical Imaging | 2466430475 | 4 |
| Sierra Nevada Medical Imaging | 2466430475 | 4 |
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. Dr Leonard Peter Holmgren allows following entities to bill medicare on his behalf.
| Entity Name | Sierra Nevada Medical Imaging |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255310124
PECOS PAC ID: 2466430475
Enrollment ID: O20050316001079 |
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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. Dr Leonard Peter Holmgren 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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Dr Leonard Peter Holmgren, MD
Po Box 19879,
Reno, NV 89511-2533
Ph: (888) 480-6640 | Dr Leonard Peter Holmgren, MD
2170 South Ave,
S Lake Tahoe, CA 96150-7026
Ph: (530) 543-5850 |
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