Michele Leidholm, FNP is a medicare enrolled "Nurse Practitioner - Family" in Underwood, North Dakota. Her current practice location is
87 Lincoln Ave, Underwood, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 442-3148.
Michele Leidholm is licensed to practice in North Dakota (license number R25469) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417942335.
Provider's Profile
Full Name | Michele Leidholm |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 87 Lincoln Ave, Underwood, North Dakota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michele Leidholm attended and graduated from in
NPI Data:
- NPI Number: 1417942335
- Provider Enumeration Date: 09/16/2005
- Last Update Date: 02/15/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Michele Leidholm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417942335 | NPI | - | NPPES |
19621 | Medicaid | ND | |
A63211046001 | Other | | PREFERRED ONE |
P00065098 | Other | | RR MEDICARE |
023494 | Other | ND | BCBS |
004 | Other | | AMERICA'S PPO |
025502 | Other | ND | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R25469 (North Dakota) | 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. Michele Leidholm 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 |
Michele Leidholm, FNP Po Box 253, Underwood, ND 58576-0253 Ph: (701) 442-3148 | Michele Leidholm, FNP 87 Lincoln Ave, Underwood, ND 58576 Ph: (701) 442-3148 |
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