Dr Susan M Holt, MD | |
6425 Nicollet Ave, Suite 202, Richfield, MN 55423-1668 | |
(612) 869-2086 | |
(612) 869-4903 |
Full Name | Dr Susan M Holt |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 40 Years |
Location | 6425 Nicollet Ave, Richfield, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932201639 | NPI | - | NPPES |
492003 | Other | MN | PREFERRED ONE |
HP13424 | Other | MN | HEALTH PARTNERS |
137592000 | Medicaid | MN | |
100189 | Other | MN | U CARE |
49637HO | Other | MN | BLUE CROSS BLUE SHIELD |
0316269 | Other | MN | MEDICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 30007 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan M Holt, MD 8170 33rd Ave S, Bloomington, MN 55425-4516 Ph: () - | Dr Susan M Holt, MD 6425 Nicollet Ave, Suite 202, Richfield, MN 55423-1668 Ph: (612) 869-2086 |
Dr. David William Groth, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6425 Nicollet Ave, Suite # 202, Richfield, MN 55423 Phone: 612-869-2086 Fax: 612-869-4903 | |
Elliot Daniel Backer, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6425 Nicollet Ave Ste 202, Richfield, MN 55423 Phone: 612-869-2086 |