Anita Jean Holtz, MD is a medicare enrolled "Family Medicine" physician in San Felipe, New Mexico. Her current practice location is
Cedar Street #4 San Felipe Pueblo, Box 4344, San Felipe, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 867-2739.
Anita Jean Holtz is licensed to practice in New Mexico (license number MD2004-0512) 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 1679679245.
Physician's Profile
| Full Name | Anita Jean Holtz |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | Cedar Street #4 San Felipe Pueblo, San Felipe, New Mexico |
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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: 1679679245
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 03/13/2008
Medicare PECOS Information:
- PECOS PAC ID: 6901875525
- Enrollment ID: I20050331000973
Medical Identifiers
Medical identifiers for Anita Jean Holtz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679679245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | MD2004-0512 (New Mexico) | 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. Anita Jean Holtz allows following entities to bill medicare on her behalf.
| Entity Name | Santa Fe Indian Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285613836 PECOS PAC ID: 7719883289 Enrollment ID: O20031208000627 |
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| Entity Name | San Felipe Health Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831274851 PECOS PAC ID: 8426954819 Enrollment ID: O20031208000761 |
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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. Anita Jean Holtz 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 |
Anita Jean Holtz, MD 1700 Cerrillos Rd, Santa Fe, NM 87505-3554 Ph: (505) 988-9821 | Anita Jean Holtz, MD Cedar Street #4 San Felipe Pueblo, Box 4344, San Felipe, NM 87001-4529 Ph: (505) 867-2739 |
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