Douglas Holt, MD in Salt Lake City, UT - Medicare Radiation Oncology

Douglas Holt, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Salt Lake City, Utah. He went to University Of Pittsburgh School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Utah Cancer Specialists Pc, Madison Memorial Hospital, Utah Cancer Specialists Pc, Teton County Hospital District and his current practice location is 1250 E 3900 S Ste B10, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 456-8401.

Douglas Holt is licensed to practice in Utah (license number 12250382-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417310046.

Contact Information

	Douglas Holt, MD
	1250 E 3900 S Ste B10, Salt Lake City, UT 84124-1348
	(801) 456-8401
	Not Available

Map and Direction

Physician's Profile

Full Name	Douglas Holt
Gender	Male
Speciality	Radiation Oncology
Experience	9 Years
Location	1250 E 3900 S Ste B10, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas Holt attended and graduated from University Of Pittsburgh School Of Medicine in 2016

NPI Data:

NPI Number: 1417310046
Provider Enumeration Date: 03/31/2016
Last Update Date: 11/17/2025

Medicare PECOS Information:

PECOS PAC ID: 3072914084
Enrollment ID: I20210629000813

Medical Identifiers

Medical identifiers for Douglas Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417310046	NPI	-	NPPES
13723A	Other	WY	WY MD LICENSE
12250382-1205	Other	UT	UT MD LICENSE
M-15792	Other	ID	ID MD LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	M-15792 (Idaho)	Secondary
2085R0001X	Radiology - Radiation Oncology	13723A (Wyoming)	Secondary
2085R0001X	Radiology - Radiation Oncology	12250382-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastern Idaho Regional Medical Center	Idaho falls, ID	Hospital
St Johns Medical Center	Jackson, WY	Hospital
Mountain View Hospital	Idaho falls, ID	Hospital
Madison Memorial Hospital	Rexburg, ID	Hospital
Teton Valley Hospital	Driggs, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Utah Cancer Specialists Pc	1355254749	42
Madison Memorial Hospital	4183949522	18
Utah Cancer Specialists Pc	1355254749	42
Teton County Hospital District	4880582295	110

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. Douglas Holt allows following entities to bill medicare on his behalf.

Entity Name	Steele Memorial Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851403265 PECOS PAC ID: 9436131265 Enrollment ID: O20040604000056

Entity Name	Madison Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346643038 PECOS PAC ID: 4183949522 Enrollment ID: O20150206000933

Entity Name	Gammawest Brachytherapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053451617 PECOS PAC ID: 6800785510 Enrollment ID: O20150828002028

Entity Name	Utah Cancer Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619925369 PECOS PAC ID: 1355254749 Enrollment ID: O20220902002195

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. Douglas Holt 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
Douglas Holt, MD 1250 E 3900 S Ste B10, Salt Lake City, UT 84124-1348 Ph: (801) 456-8401	Douglas Holt, MD 1250 E 3900 S Ste B10, Salt Lake City, UT 84124-1348 Ph: (801) 456-8401

Reviews and Comments

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Dr. Brad Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3321 S 3010 E, Salt Lake City, UT 84109 Phone: 802-310-2843

Douglas Holt, MD - Medicare Radiation Oncology in Salt Lake City, UT