Susannah Holt, in Mansfield, LA - Medicare Nurse Practitioner

Susannah Holt, is a medicare enrolled "Nurse Practitioner - Family" in Mansfield, Louisiana. Her current practice location is 1121 Polk St, Mansfield, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 575-2143.

Susannah Holt is licensed to practice in Louisiana (license number 208255) 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 1801624093.

Contact Information

	Susannah Holt,
	1121 Polk St, Mansfield, LA 71052-2524
	(318) 575-2143
	Not Available

Map and Direction

Provider's Profile

Full Name	Susannah Holt
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1121 Polk St, Mansfield, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801624093
Provider Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1759822893
Enrollment ID: I20240917002470

Medical Identifiers

Medical identifiers for Susannah Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801624093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	208255 (Louisiana)	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. Susannah Holt allows following entities to bill medicare on her behalf.

Entity Name	Calcasieu Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768

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. Susannah Holt 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
Susannah Holt, Po Box 306416, Nashville, TN 37230-6416 Ph: () -	Susannah Holt, 1121 Polk St, Mansfield, LA 71052-2524 Ph: (318) 575-2143

Reviews and Comments

Nurse Practitioner Nurses in Mansfield, LA

Edwina Elrod Eley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7356 Highway 509, Mansfield, LA 71052 Phone: 318-871-1633 Fax: 318-871-1677
Carrie Jo Moton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 Washington Ave, Mansfield, LA 71052 Phone: 318-301-6627 Fax: 318-872-7048
Mrs. Detries R Morris, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 North Jefferson Street,, Suite B, Mansfield, LA 71052 Phone: 318-871-1633 Fax: 318-871-1677

Susannah Holt, - Medicare Nurse Practitioner in Mansfield, LA