Dorothy J Holt, CRNA is a
Nurse Anesthetist, Certified Registered based in Kirkwood, Missouri. Dorothy J Holt is licensed to practice in Missouri (license number 080214) and her current practice location is
525 Couch Ave, Kirkwood, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 636-3483.
NPI number for Dorothy J Holt is 1114980125 and her current mailing address is 1445 Christy Dr, Jefferson City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114980125.
Provider's Profile
| Full Name | Dorothy J Holt |
|---|
| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 525 Couch Ave, Kirkwood, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114980125
- Provider Enumeration Date: 04/10/2006
- Last Update Date: 05/02/2008
Medical Identifiers
Medical identifiers for Dorothy J Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114980125 | NPI | - | NPPES |
| 919687251 | Medicaid | MO | |
| P00389527 | Other | MO | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 080214 (Missouri) | Primary |
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. Dorothy J Holt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dorothy J Holt, CRNA
1445 Christy Dr,
Jefferson City, MO 65101-2853
Ph: (573) 636-7716 | Dorothy J Holt, CRNA
525 Couch Ave,
Kirkwood, MO 63122-5536
Ph: (573) 636-3483 |
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