Dr Paul Holtom, MD in Los Angeles, CA - Medicare Internal Medicine

Dr Paul Holtom, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Los Angeles, California. His current practice location is 1520 San Pablo St, Suite 1000, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-5100.

Dr Paul Holtom is licensed to practice in California (license number G044895) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851300032.

Contact Information

	Dr Paul Holtom, MD
	1520 San Pablo St, Suite 1000, Los Angeles, CA 90033-5310
	(323) 442-5100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Paul Holtom
Gender	Male
Speciality	Internal Medicine - Infectious Disease
Location	1520 San Pablo St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851300032
Provider Enumeration Date: 08/05/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1951482272
Enrollment ID: I20080112000158

Medical Identifiers

Medical identifiers for Dr Paul Holtom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851300032	NPI	-	NPPES
00G448950197	Other	CA	CAL OPTIMA
W18762	Other	CA	GROUP MEDICARE
00G448950	Medicaid	CA
440000831	Other	CA	RAILROAD MEDICARE
CE1617	Other	CA	GROUP RAILROAD MEDICARE
1902846306	Other	CA	GROUP NPI
GR0016910	Other	CA	GROUP MEDICAID PIN
W11675	Other	CA	GROUP MEDICARE PIN
ZZZ50018Z	Other	CA	GROUP BLUE SHIELD
00G448950	Other	CA	BLUE SHIELD
06E2774	Other	CA	GROUP CHAMPUS
GR0100430	Other	CA	GROUP MEDICAL
1356390009	Other	CA	GROUP NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	G044895 (California)	Primary

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 Paul Holtom allows following entities to bill medicare on his behalf.

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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 Paul Holtom 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
Dr Paul Holtom, MD Lac Usc Medical Center, 1200 N. State Se. Room C5e100, Los Angeles, CA 90033 Ph: (323) 409-6645	Dr Paul Holtom, MD 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033-5310 Ph: (323) 442-5100

Reviews and Comments

Internal Medicine Doctors in Los Angeles, CA

Dr. Linda Fong, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290
Dr. Robert Peter Gale, Infectious Disease Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010
Dr. Tarek Alasil, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290
David Michael Tellalian, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308
Dr. Jan B King, M.D., M.P.H. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701
Dr. Caroline Hwang, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100
Dr. Jennifer A Fulcher, M.D., PH.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225

Dr Paul Holtom, MD - Medicare Internal Medicine in Los Angeles, CA