Natalie S Roholt, MD is a
Dermatology physician based in Bemidji, Minnesota. Natalie S Roholt is licensed to practice in Minnesota (license number 38310) and her current practice location is 1611 Anne St Nw, Bemidji, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 333-2020.
NPI number for Natalie S Roholt is 1215958434 and her current mailing address is 1611 Anne St Nw, Bemidji, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215958434.
Physician's Profile
| Full Name | Natalie S Roholt |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 1611 Anne St Nw, Bemidji, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215958434
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 03/25/2022
Medical Identifiers
Medical identifiers for Natalie S Roholt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215958434 | NPI | - | NPPES |
| 250327100 | Medicaid | MN | |
| 18541 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 38310 (Minnesota) | Primary |
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. Natalie S Roholt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Natalie S Roholt, MD
1611 Anne St Nw,
Bemidji, MN 56601-5114
Ph: (218) 333-2020 | Natalie S Roholt, MD
1611 Anne St Nw,
Bemidji, MN 56601-5114
Ph: (218) 333-2020 |
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