Samantha Ann Holzman, PA-C - Medicare Physician Assistant in Derby, CT

Samantha Ann Holzman, PA-C is a medicare enrolled "Physician Assistant" in Derby, Connecticut. Her current practice location is 130 Division St, Derby, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 735-7421.

Samantha Ann Holzman is licensed to practice in Connecticut (license number 2942) 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 1336571165.

Contact Information

Samantha Ann Holzman, PA-C
130 Division St,
Derby, CT 06418-1326
(203) 735-7421
Not Available



Provider's Profile

Full NameSamantha Ann Holzman
GenderFemale
SpecialityPhysician Assistant
Location130 Division St, Derby, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336571165
  • Provider Enumeration Date: 08/02/2013
  • Last Update Date: 02/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9537393715
  • Enrollment ID: I20130930000584

Medical Identifiers

Medical identifiers for Samantha Ann Holzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336571165NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2942 (Connecticut)Primary
363AM0700XPhysician Assistant - Medical 2942 (Connecticut)Secondary

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. Samantha Ann Holzman 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
Samantha Ann Holzman, PA-C
3 Farmstead Ln,
Farmington, CT 06032-2819

Ph: (860) 402-2331
Samantha Ann Holzman, PA-C
130 Division St,
Derby, CT 06418-1326

Ph: (203) 735-7421

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› Verified 5 days ago


Physician Assistant Nurses in Derby, CT

Ryan Edward Weiss, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Nikolett Kocsis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 78 Pershing Dr, Derby, CT 06418
Phone: 035-165-3072    
Alexis Cardinali, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Astrid B Garza Posadas, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 435 New Haven Ave Ste 2, Derby, CT 06418
Phone: 203-734-1990    
William Henry Ruml, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    
Mr. Scott B Callahan, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Kaylan C Mcdowell-smith, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    Fax: 203-732-1332

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