Shannon L Holt, MD | |
1115 Woodland Dr, Elizabethtown, KY 42701-2749 | |
(270) 769-5963 | |
(270) 769-9051 |
Full Name | Shannon L Holt |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 24 Years |
Location | 1115 Woodland Dr, Elizabethtown, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033153085 | NPI | - | NPPES |
64085442 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 37416 (Kentucky) | Primary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 37416 (Kentucky) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Hardin Memorial Hospital | Elizabethtown, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Medical Group Inc | 5597867184 | 1934 |
Entity Name | Elizabethtown Physicians For Women,psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760585988 PECOS PAC ID: 1355395930 Enrollment ID: O20050307000375 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
Mailing Address | Practice Location Address |
---|---|
Shannon L Holt, MD 1115 Woodland Dr, Elizabethtown, KY 42701-2749 Ph: (270) 769-5963 | Shannon L Holt, MD 1115 Woodland Dr, Elizabethtown, KY 42701-2749 Ph: (270) 769-5963 |
Dr. Amy Preen, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1115 Woodland Dr, Elizabethtown, KY 42701 Phone: 270-769-5963 Fax: 270-769-9051 | |
Dr. Canh Jeff V Vo, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 551 Westport Rd Ste D, Elizabethtown, KY 42701 Phone: 270-765-3301 Fax: 270-765-3928 | |
Dr. Jason Edward Goodman, M.D, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1115 Woodland Dr, Elizabethtown, KY 42701 Phone: 270-769-5963 Fax: 270-769-9051 | |
George W Bauer Iii, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1115 Woodland Dr, Elizabethtown, KY 42701 Phone: 270-769-5963 Fax: 270-769-9051 | |
Lauren Ford, APRN Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1115 Woodland Dr, Elizabethtown, KY 42701 Phone: 270-769-5963 | |
Dr. William Florent Brassine, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 625 Eldorado Drive, Elizabethtown, KY 42701 Phone: 270-769-5842 |