| Corey Ryan Holt, DO | |
|
1600 Providence Dr, Waco, TX 76707-2261 | |
| (254) 313-4200 | |
| (254) 313-4549 |
| Full Name | Corey Ryan Holt |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 1600 Providence Dr, Waco, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306461090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | BP10070626 (Texas) | Secondary |
| 207Q00000X | Family Medicine | T4393 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healthy Living At Home -carson City, Llc | Carson city, NV | Home health agency |
| Carson Valley Medical Center | Gardnerville, NV | Hospital |
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Barton Memorial Hospital | South lake tahoe, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carson Valley Medical Center Rural Health Clinic | 2860579984 | 40 |
| Entity Name | Carson Valley Medical Center Rural Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174708879 PECOS PAC ID: 2860579984 Enrollment ID: O20080414000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Ryan Holt, DO 1600 Providence Dr, Waco, TX 76707-2261 Ph: (254) 313-4200 | Corey Ryan Holt, DO 1600 Providence Dr, Waco, TX 76707-2261 Ph: (254) 313-4200 |
Allison L Hulme, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 Providence Dr, Waco, TX 76707 Phone: 254-750-8200 Fax: 254-750-8326 | |
Timothy Martindale, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7104 New Sanger Rd, Waco, TX 76712 Phone: 254-741-1113 Fax: 254-741-1342 | |
Dr. Brian Douglas Bull, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 851 North Loop 340, Waco, TX 76705 Phone: 254-202-7500 Fax: 254-202-7599 | |
Dr. Matthew Robert Porter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 W. State Hwy 6, Waco, TX 76712 Phone: 254-313-6700 Fax: 254-313-4531 | |
Lianda Mirella Martinez, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Franklin Ave, Suite B-c, Waco, TX 76701 Phone: 254-537-6590 Fax: 254-537-6599 | |
Jacob Lutgen, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Providence Dr, Waco, TX 76707 Phone: 254-313-4200 | |
Dr. Aman A Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 |