Lisa Michelle Holtsclaw, DO in Fort Wayne, IN

Lisa Michelle Holtsclaw, DO is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Osh-in Physicians Group Pc and her current practice location is 436 E Washington Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 209-7111.

Lisa Michelle Holtsclaw is licensed to practice in Indiana (license number 02001568A) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1619957164.

Contact Information

	Lisa Michelle Holtsclaw, DO
	436 E Washington Blvd, Fort Wayne, IN 46802-3210
	(260) 209-7111
	(260) 222-2835

Map and Direction

Physician's Profile

Full Name	Lisa Michelle Holtsclaw
Gender	Female
Speciality	Family Practice
Experience	31 Years
Location	436 E Washington Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Michelle Holtsclaw attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1993

NPI Data:

NPI Number: 1619957164
Provider Enumeration Date: 01/19/2006
Last Update Date: 06/22/2020

Medicare PECOS Information:

PECOS PAC ID: 9133133218
Enrollment ID: I20060127000253

Medical Identifiers

Medical identifiers for Lisa Michelle Holtsclaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619957164	NPI	-	NPPES
100373060	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	02001568A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osh-in Physicians Group Pc	6800100512	53

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. Lisa Michelle Holtsclaw allows following entities to bill medicare on her behalf.

Entity Name	Osh-in Physicians Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073995338 PECOS PAC ID: 6800100512 Enrollment ID: O20150807014284

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. Lisa Michelle Holtsclaw 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
Lisa Michelle Holtsclaw, DO 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 Ph: (312) 733-9730	Lisa Michelle Holtsclaw, DO 436 E Washington Blvd, Fort Wayne, IN 46802-3210 Ph: (260) 209-7111

Reviews and Comments

Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610
Christina Mcguirk, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065
Brian A. Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825 Phone: 260-458-3760 Fax: 260-458-3761

Lisa Michelle Holtsclaw, DO - Medicare Family Practice in Fort Wayne, IN