Robert William Lundholm, APRN in Omaha, NE - Medicare Nurse Practitioner

Robert William Lundholm, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Omaha, Nebraska. His current practice location is 6910 Pacific Street, Suite 100, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 504-3707.

Robert William Lundholm is licensed to practice in Nebraska (license number 111311) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356627244.

Contact Information

	Robert William Lundholm, APRN
	6910 Pacific Street, Suite 100, Omaha, NE 68106-1044
	(402) 504-3707
	(402) 504-3714

Map and Direction

Provider's Profile

Full Name	Robert William Lundholm
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6910 Pacific Street, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356627244
Provider Enumeration Date: 10/24/2011
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 8123292661
Enrollment ID: I20111121000057

Medical Identifiers

Medical identifiers for Robert William Lundholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356627244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	111311 (Nebraska)	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. Robert William Lundholm allows following entities to bill medicare on his behalf.

Entity Name	Mary Jo Hanigan M.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770801789 PECOS PAC ID: 6305978321 Enrollment ID: O20100709000444

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. Robert William Lundholm 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
Robert William Lundholm, APRN 6910 Pacific Street, Suite 100, Omaha, NE 68106-1044 Ph: (402) 504-3707	Robert William Lundholm, APRN 6910 Pacific Street, Suite 100, Omaha, NE 68106-1044 Ph: (402) 504-3707

Reviews and Comments

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Robert William Lundholm, APRN - Medicare Nurse Practitioner in Omaha, NE