Dr Bradley Wyatt Holt, MD | |
6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | |
(520) 382-8200 | |
(520) 297-3505 |
Full Name | Dr Bradley Wyatt Holt |
---|---|
Gender | Male |
Speciality | Interventional Pain Management |
Experience | 18 Years |
Location | 6320 N La Cholla Blvd Ste 200, Tucson, Arizona |
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 |
---|---|---|---|
1922230507 | NPI | - | NPPES |
523022 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | R70503 (Arizona) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 42850 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tucson Orthopaedic Institute Professional Corporation | 5799671905 | 93 |
Entity Name | Tucson Orthopaedic Institute Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437193265 PECOS PAC ID: 5799671905 Enrollment ID: O20040225000304 |
Mailing Address | Practice Location Address |
---|---|
Dr Bradley Wyatt Holt, MD Po Box 31630, Tucson, AZ 85751-1630 Ph: (520) 784-6320 | Dr Bradley Wyatt Holt, MD 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 Ph: (520) 382-8200 |
Sheldon E Gingerich, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 630 N Alvernon Way, Tucson, AZ 85711 Phone: 520-322-8440 Fax: 520-322-8462 | |
Stephen Allen Shiller, Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 N. Campbell Ave., Tucson, AZ 85724 Phone: 520-626-0887 | |
Mark Alan Tiffany, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 E Broadway Blvd, Tucson, AZ 85711 Phone: 520-399-6000 Fax: 520-399-6002 | |
Dr. Jose M. Chavez, D.O. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1704 W Anklam Rd Ste 108, Tucson, AZ 85745 Phone: 623-516-8252 Fax: 623-516-8253 | |
Kyung Jang Chen, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 E. Grant Rd., Orthopaedic Bldg, 1st Floor, Tucson, AZ 85712 Phone: 520-784-6200 Fax: 520-784-6109 | |
Ms. Johnna Gigi Hayse, FNP-C Pain Medicine Medicare: Medicare Enrolled Practice Location: 7494 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-395-0512 Fax: 520-505-4108 |