Peter S Holtz, DPM | |
717 Market St, Suite 101, Lemoyne, PA 17043-1581 | |
(717) 731-1133 | |
(717) 635-8385 |
Full Name | Peter S Holtz |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 717 Market St, Lemoyne, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205829983 | NPI | - | NPPES |
CG4514 | Other | VA | MEDICARE RAILROAD |
102414841 | Medicaid | PA | |
P00818686 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 0103000616 (Virginia) | Primary |
213E00000X | Podiatrist | SC006019 (Pennsylvania) | Secondary |
Provider Name | Holtgate Podiatry Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154649937 PECOS PAC ID: 7911036561 Enrollment ID: O20100520000423 |
Mailing Address | Practice Location Address |
---|---|
Peter S Holtz, DPM Po Box 415, Lemoyne, PA 17043-0415 Ph: (717) 731-1133 | Peter S Holtz, DPM 717 Market St, Suite 101, Lemoyne, PA 17043-1581 Ph: (717) 731-1133 |
Holtgate Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 717 Market St, Suite 101, Lemoyne, PA 17043 Phone: 717-731-1133 Fax: 717-635-8385 | |
Sally Ahmed Fayed, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 717 Market St Ste 101, Lemoyne, PA 17043 Phone: 717-731-1133 |