Dr Jill Wendy Holtz, PSY is a medicare enrolled "Psychologist - Clinical" provider in Santa Fe, New Mexico. She graduated from healthcare school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Presbyterian Healthcare Services and her current practice location is
54 St. Michaels Dr. Ste 200, Santa Fe, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 303-5000.
Dr Jill Wendy Holtz is licensed to practice in New Mexico (license number PSY1514) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902285646.
Healthcare Provider's Profile
| Full Name | Dr Jill Wendy Holtz |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 54 St. Michaels Dr. Ste 200, Santa Fe, New Mexico |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jill Wendy Holtz graduated from medical school in 2017
NPI Data:
- NPI Number: 1902285646
- Provider Enumeration Date: 05/27/2015
- Last Update Date: 06/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951650068
- Enrollment ID: I20180823000564
Medical Identifiers
Medical identifiers for Dr Jill Wendy Holtz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902285646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 10091 (Nebraska) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1514 (New Mexico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY1514 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Presbyterian Healthcare Services | 9234041708 | 1119 |
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 Jill Wendy Holtz allows following entities to bill medicare on her behalf.
| Entity Name | Presbyterian Healthcare Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603 |
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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 Jill Wendy Holtz 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 |
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Dr Jill Wendy Holtz, PSY
Po Box 26666, Provider Enrollment,
Albuquerque, NM 87125-6666
Ph: (505) 923-6770 | Dr Jill Wendy Holtz, PSY
54 St. Michaels Dr. Ste 200,
Santa Fe, NM 87505-7602
Ph: (505) 303-5000 |
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