Nicholas Stephen Holtan, MD - Medicare Internal Medicine in Centralia, WA

Nicholas Stephen Holtan, MD is a medicare enrolled "Internal Medicine" physician in Centralia, Washington. He went to University Of Arizona College Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Providence Health And Services Washington and his current practice location is 914 S Scheuber Rd, Centralia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 330-8976.

Nicholas Stephen Holtan is licensed to practice in Washington (license number MD60361040) 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 1609187103.

Contact Information

Nicholas Stephen Holtan, MD
914 S Scheuber Rd,
Centralia, WA 98531-9027
(360) 330-8976
Not Available



Physician's Profile

Full NameNicholas Stephen Holtan
GenderMale
SpecialityInternal Medicine
Experience14 Years
Location914 S Scheuber Rd, Centralia, Washington
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:
  • Nicholas Stephen Holtan attended and graduated from University Of Arizona College Of Medicine in 2010
  NPI Data:
  • NPI Number: 1609187103
  • Provider Enumeration Date: 06/29/2010
  • Last Update Date: 01/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9537303573
  • Enrollment ID: I20130913000245

Medical Identifiers

Medical identifiers for Nicholas Stephen Holtan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609187103NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD60361040 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Centralia HospitalCentralia, WAHospital
Providence St Peter HospitalOlympia, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Washington6709782600393

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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. Nicholas Stephen Holtan allows following entities to bill medicare on his behalf.
Entity NameSouth Sound Inpatient Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023285756
PECOS PAC ID: 5991618738
Enrollment ID: O20031107000668

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Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028

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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. Nicholas Stephen 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
Nicholas Stephen Holtan, MD
Po Box 3360,
Portland, OR 97208-3360

Ph: () -
Nicholas Stephen Holtan, MD
914 S Scheuber Rd,
Centralia, WA 98531-9027

Ph: (360) 330-8976

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Internal Medicine Doctors in Centralia, WA

Dr. Richard Scott Elloway, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 S. Scheuber Road, Suite G, Centralia, WA 98531
Phone: 360-330-8808    Fax: 360-330-8816
David Fick, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 914 S Scheuber Rd, Centralia, WA 98531
Phone: 360-736-2803    
Eric S Swanson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 914 S Scheuber Rd, Centralia, WA 98531
Phone: 360-827-8811    
Dr. Jong-wook Ban, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 S Scheuber Rd Ste 3&4, Centralia, WA 98531
Phone: 360-827-7966    Fax: 360-827-7977
Dr. Romil Wadhawan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 S Scheuber Rd, Suite 3&4, Centralia, WA 98531
Phone: 360-807-7966    Fax: 360-807-7977
Dr. Floyd D Smith, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1611 Kresky Ave, Suite 112, Centralia, WA 98531
Phone: 360-330-2023    Fax: 360-623-1585
Katie Elizabeth Kunnen, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 914 S Scheuber Rd, Centralia, WA 98531
Phone: 360-827-8811    Fax: 360-330-8969

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