Mr Tharon B Holmberg, CRNP - Medicare Nurse Practitioner in Buffalo, NY

Mr Tharon B Holmberg, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Buffalo, New York. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Medical Director Services Pc, Mill Basin Medical Health Pc, Medical Director Services Pc and his current practice location is 701 Seneca St Ste 646c, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 995-4450.

Mr Tharon B Holmberg is licensed to practice in New York (license number 307563) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871741785.

Contact Information

Mr Tharon B Holmberg, CRNP
701 Seneca St Ste 646c,
Buffalo, NY 14210-1372
(716) 995-4450
Not Available

Map and Direction




Provider's Profile

Full NameMr Tharon B Holmberg
GenderMale
SpecialityNurse Practitioner
Experience16 Years
Location701 Seneca St Ste 646c, Buffalo, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Tharon B Holmberg graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1871741785
  • Provider Enumeration Date: 09/04/2008
  • Last Update Date: 09/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0749357341
  • Enrollment ID: I20161010000866

Medical Identifiers

Medical identifiers for Mr Tharon B Holmberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871741785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP009917 (Pennsylvania)Secondary
363LA2200XNurse Practitioner - Adult Health 307563 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Director Services Pc004250111660
Mill Basin Medical Health Pc913356612813
Medical Director Services Pc004250111660

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. Mr Tharon B Holmberg allows following entities to bill medicare on his behalf.
Entity NamePhilip M Sauvageau
Entity TypePractitioner - Internal Medicine
Entity IdentifiersNPI Number: 1609852714
PECOS PAC ID: 3476547399
Enrollment ID: I20040413001401
Entity NameCarthage Area Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053497388
PECOS PAC ID: 9931010485
Enrollment ID: O20040209000856
Entity NameDelphi Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922270420
PECOS PAC ID: 5395819478
Enrollment ID: O20080807000352
Entity NameDelphi Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003075029
PECOS PAC ID: 9537229661
Enrollment ID: O20081119000839
Entity NamePark Avenue Pediatrics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699969543
PECOS PAC ID: 6507010592
Enrollment ID: O20130128000388
Entity NameParcare Community Health Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730454083
PECOS PAC ID: 4981823390
Enrollment ID: O20140917002207
Entity NameMedical Director Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20160621000218
Entity NameMill Basin Medical Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346006202
PECOS PAC ID: 9133566128
Enrollment ID: O20240326003311

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. Mr Tharon B Holmberg 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 AddressPractice Location Address
Mr Tharon B Holmberg, CRNP
1 Penn Plz, 8th Floor,
New York, NY 10119-0002

Ph: (570) 452-2138
Mr Tharon B Holmberg, CRNP
701 Seneca St Ste 646c,
Buffalo, NY 14210-1372

Ph: (716) 995-4450

Reviews and Comments


Nurse Practitioner Nurses in Buffalo, NY

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Beth Lyn Vaccarelli, ANP
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Jessica Lynn Hafezi,
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Phone: 716-845-2300    
Yevgeniya S Lipina, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210
Phone: 716-995-4450    Fax: 844-206-7424

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.