David Glenn Holst, MD | |
824 Pine St, Mount Shasta, CA 96067-2137 | |
(530) 926-4528 | |
(530) 926-5070 |
Full Name | David Glenn Holst |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 33 Years |
Location | 824 Pine St, Mount Shasta, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164416764 | NPI | - | NPPES |
080080840 | Other | RAILROAD MEDICARE | |
00G760270 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G76027 (California) | Primary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | G76027 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center Of Mt Shasta | Mount shasta, CA | Hospital |
Fairchild Medical Center | Yreka, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dignity Health | 2062320559 | 75 |
Entity Name | Mccloud Healthcare Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164428488 PECOS PAC ID: 3779494919 Enrollment ID: O20031118001091 |
Entity Name | Dignity Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336588870 PECOS PAC ID: 2062320559 Enrollment ID: O20081223000427 |
Mailing Address | Practice Location Address |
---|---|
David Glenn Holst, MD Po Box 339, Mount Shasta, CA 96067-0339 Ph: (530) 926-5613 | David Glenn Holst, MD 824 Pine St, Mount Shasta, CA 96067-2137 Ph: (530) 926-4528 |
Dr. Erik James Van Houten, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Old Mccloud Rd, Mount Shasta, CA 96067 Phone: 530-999-9040 | |
Dr. John Milo Katana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 Pine St, Mount Shasta, CA 96067 Phone: 530-926-7196 Fax: 530-926-1026 | |
Dr. Phillip M Miller, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 408 Pine St, Mount Shasta, CA 96067 Phone: 530-926-7196 Fax: 530-926-1026 | |
Dr. John Karl Capos, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 S Mount Shasta Blvd, Mount Shasta, CA 96067 Phone: 530-918-6037 Fax: 530-918-6039 | |
Dr. Ashley Denise Delaney, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Old Mccloud Rd, Mount Shasta, CA 96067 Phone: 530-999-9040 | |
Danny Elliott Drew, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 110 W Castle St, Ste 100, Mount Shasta, CA 96067 Phone: 530-926-9897 Fax: 530-926-2217 |