Lauryn K Holtzman, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Atlanta, Georgia. Her current practice location is
57 Executive Park S Ste 300, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 727-5910.
Lauryn K Holtzman is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255912630.
Provider's Profile
Full Name | Lauryn K Holtzman |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 57 Executive Park S Ste 300, Atlanta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255912630
- Provider Enumeration Date: 04/18/2021
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143678060
- Enrollment ID: I20231201002501
Medical Identifiers
Medical identifiers for Lauryn K Holtzman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255912630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367H00000X | Anesthesiologist Assistant | 11841 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Lauryn K Holtzman allows following entities to bill medicare on her behalf.
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
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Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
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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. Lauryn K Holtzman 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 |
Lauryn K Holtzman, 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 Ph: (404) 727-5910 | Lauryn K Holtzman, 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 Ph: (404) 727-5910 |
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