Dr Casey A Holtz, PHD is a
Psychologist - Clinical based in Brookfield, Wisconsin. Dr Casey A Holtz is licensed to practice in Wisconsin (license number 2962-57) and his current practice location is
17100 W North Ave, Suite 100, Brookfield, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 786-9184.
NPI number for Dr Casey A Holtz is 1295040988 and his current mailing address is 17100 W North Ave, Suite 100, Brookfield, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295040988.
Healthcare Provider's Profile
| Full Name | Dr Casey A Holtz |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 17100 W North Ave, Brookfield, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295040988
- Provider Enumeration Date: 08/18/2010
- Last Update Date: 04/10/2013
Medical Identifiers
Medical identifiers for Dr Casey A Holtz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295040988 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 4444-125 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 594-226 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2962-57 (Wisconsin) | Primary |
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 Casey A Holtz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Casey A Holtz, PHD
17100 W North Ave, Suite 100,
Brookfield, WI 53005-4436
Ph: (414) 810-7647 | Dr Casey A Holtz, PHD
17100 W North Ave, Suite 100,
Brookfield, WI 53005-4436
Ph: (262) 786-9184 |
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