Tara Elizabeth Holter, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Rochester, New York. Her current practice location is
300 Crittenden Blvd, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 275-6917.
Tara Elizabeth Holter is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740522713.
Physician's Profile
Full Name | Tara Elizabeth Holter |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 300 Crittenden Blvd, Rochester, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740522713
- Provider Enumeration Date: 03/18/2013
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082905310
- Enrollment ID: I20180709000675
Medical Identifiers
Medical identifiers for Tara Elizabeth Holter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740522713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 279757 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Tara Elizabeth Holter allows following entities to bill medicare on her behalf.
Entity Name | University Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019 |
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Entity Name | University Of Rochester Department Of Psychiatry Clinical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326088808 PECOS PAC ID: 3173420429 Enrollment ID: O20031216000276 |
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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. Tara Elizabeth Holter 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 |
Tara Elizabeth Holter, MD 300 Crittenden Blvd, Rochester, NY 14642-8409 Ph: (585) 275-6917 | Tara Elizabeth Holter, MD 300 Crittenden Blvd, Rochester, NY 14642-8409 Ph: (585) 275-6917 |
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