Dr Raymond Lee Holsten, MD | |
467 Vista Avenue, Page, AZ 86040-1625 | |
(928) 645-8123 | |
(928) 645-3862 |
Full Name | Dr Raymond Lee Holsten |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 467 Vista Avenue, Page, 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 |
---|---|---|---|
1003810540 | NPI | - | NPPES |
145989 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21867 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Page Hospital | Page, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner Hospital Based Physicians Arizona Llc | 3274782487 | 405 |
Canyonlands Community Health Care | 4082509591 | 18 |
Entity Name | Canyonlands Community Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609966860 PECOS PAC ID: 4082509591 Enrollment ID: O20040219000713 |
Entity Name | Page Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1578515789 PECOS PAC ID: 5496665861 Enrollment ID: O20110328000098 |
Entity Name | Banner Hospital Based Physicians Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
Mailing Address | Practice Location Address |
---|---|
Dr Raymond Lee Holsten, MD Po Box 1625, Page, AZ 86040-1625 Ph: (928) 645-8123 | Dr Raymond Lee Holsten, MD 467 Vista Avenue, Page, AZ 86040-1625 Ph: (928) 645-8123 |
Brenda Christine Pecotte De Gonzalez, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 437 Vista Ave, Page, AZ 86040 Phone: 928-645-8123 | |
Dr. Dennis James Foley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
David Hipkin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 463 S. Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-0945 Fax: 928-645-2364 | |
Dr. Eric P Wadleigh, DDS Family Medicine Medicare: Medicare Enrolled Practice Location: 436 Vist Ave, Page, AZ 86040 Phone: 928-645-2505 | |
Dr. Barbara M Zimmerman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
Dr. Matthew Nelson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Ave, Page, AZ 86040 Phone: 928-645-8123 |