Dr Brian A Holtan, MD - Medicare Diagnostic Radiology in Peoria, AZ

Dr Brian A Holtan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Peoria, Arizona. He went to University Of Washington School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Smi Imaging Llc and his current practice location is 31003 N 118th Ln, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 242-6958.

Dr Brian A Holtan is licensed to practice in Arizona (license number 36220) 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 1265469399.

Contact Information

Dr Brian A Holtan, MD
31003 N 118th Ln,
Peoria, AZ 85383-8240
(623) 242-6958
Not Available



Physician's Profile

Full NameDr Brian A Holtan
GenderMale
SpecialityDiagnostic Radiology
Experience42 Years
Location31003 N 118th Ln, Peoria, Arizona
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:
  • Dr Brian A Holtan attended and graduated from University Of Washington School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1265469399
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 07/28/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0941252795
  • Enrollment ID: I20070517000667

Medical Identifiers

Medical identifiers for Dr Brian A Holtan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265469399NPI-NPPES
83022243882901A002OtherWYTRIWEST COLLEGE
83022243882935A002OtherWYTRIWEST UINTA
103629700MedicaidWY
1265469399MedicaidUT
179931MedicaidAZ
305941OtherWYBCBS OF WY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 3921A (Wyoming)Secondary
2085R0202XRadiology - Diagnostic Radiology 36220 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smi Imaging Llc3476696220239

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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. Dr Brian A Holtan allows following entities to bill medicare on his behalf.
Entity NameSimonmed Imaging Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477830818
PECOS PAC ID: 6608036108
Enrollment ID: O20160712002225

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Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142

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Entity NameHealth Diagnostics Of California A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20200313001484

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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. Dr Brian A Holtan 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
Dr Brian A Holtan, MD
31003 N 118th Ln,
Peoria, AZ 85383-8240

Ph: (623) 242-6958
Dr Brian A Holtan, MD
31003 N 118th Ln,
Peoria, AZ 85383-8240

Ph: (623) 242-6958

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Radiology Doctors in Peoria, AZ

Dr. Manntej S Sra, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 13943 N 91st Ave, Building A, Suite 102, Peoria, AZ 85381
Phone: 602-705-1353    Fax: 623-815-8299
Terry T Lee, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 14155 N 83rd Ave, Suite 127, Peoria, AZ 85381
Phone: 623-773-2873    Fax: 623-414-4922
Dr. Nilesh Haribhai Patel, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 13128 N 94th Dr Ste 100, Peoria, AZ 85381
Phone: 623-259-5900    Fax: 338-766-3364
John Craig Farnham, D.O.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 13943 N 91st Ave Ste A102, Peoria, AZ 85381
Phone: 623-344-5450    
Dr. Janet Rose Martin, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 24654 N Lake Pleasant Pkwy Ste 103-225, Peoria, AZ 85383
Phone: 866-614-8555    
Dr. Parag M Rami, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 14155 N 83rd Ave Ste 136, Peoria, AZ 85381
Phone: 623-847-3884    Fax: 623-404-3805

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