Mrs Kristin Suzanne Soderholm, OTR in Monticello, MN - Medicare Occupational Therapist Provider

Mrs Kristin Suzanne Soderholm, OTR is a medicare enrolled "Occupational Therapist" provider in Monticello, Minnesota. Her current practice location is 1107 Hart Blvd, Monticello, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 295-6878.

Mrs Kristin Suzanne Soderholm is licensed to practice in Minnesota (license number 101509) 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 1487931622.

Contact Information

	Mrs Kristin Suzanne Soderholm, OTR
	1107 Hart Blvd, Monticello, MN 55362-8538
	(763) 295-6878
	(763) 271-6860

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristin Suzanne Soderholm
Gender	Female
Speciality	Occupational Therapist
Location	1107 Hart Blvd, Monticello, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487931622
Provider Enumeration Date: 11/15/2011
Last Update Date: 11/15/2011

Medicare PECOS Information:

PECOS PAC ID: 5395185094
Enrollment ID: I20240429001507

Medical Identifiers

Medical identifiers for Mrs Kristin Suzanne Soderholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487931622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	101509 (Minnesota)	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. Mrs Kristin Suzanne Soderholm allows following entities to bill medicare on her behalf.

Provider Name	Optage Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1801517230 PECOS PAC ID: 2264619345 Enrollment ID: O20221206001945

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. Mrs Kristin Suzanne Soderholm 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
Mrs Kristin Suzanne Soderholm, OTR 1107 Hart Blvd, Monticello, MN 55362-8538 Ph: (763) 295-6878	Mrs Kristin Suzanne Soderholm, OTR 1107 Hart Blvd, Monticello, MN 55362-8538 Ph: (763) 295-6878

Reviews and Comments

Occupational Therapist in Monticello, MN

Miss Kelsey Ann Kittler, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hart Blvd Ste 10, Monticello, MN 55362 Phone: 763-295-6878
Angela M. Brown, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hart Blvd, Suite 10, Monticello, MN 55362 Phone: 763-295-6878 Fax: 763-271-6860
Anna Bruggeman, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2621 Oak Ridge Dr, Monticello, MN 55362 Phone: 507-438-1846
Jennifer Lynn Fisher, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hart Blvd, Monticello, MN 55362 Phone: 763-295-6878
Karmyn Larson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hart Blvd, Suite 10, Monticello, MN 55362 Phone: 763-295-6878
Brianna Kellee Robinson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1104 E River St, Monticello, MN 55362 Phone: 402-334-1919

Mrs Kristin Suzanne Soderholm, OTR - Medicare Occupational Therapist in Monticello, MN