| Dr Bradley Wyatt Holt, MD | |
|
6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | |
| (520) 382-8200 | |
| (520) 297-3505 |
| Full Name | Dr Bradley Wyatt Holt |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 19 Years |
| Location | 6320 N La Cholla Blvd Ste 200, Tucson, Arizona |
| 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 |
|---|---|---|---|
| 1922230507 | NPI | - | NPPES |
| 523022 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | R70503 (Arizona) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 42850 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tucson Orthopaedic Institute Professional Corporation | 5799671905 | 96 |
| Entity Name | Tucson Orthopaedic Institute Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437193265 PECOS PAC ID: 5799671905 Enrollment ID: O20040225000304 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Wyatt Holt, MD Po Box 31630, Tucson, AZ 85751-1630 Ph: (520) 784-6320 | Dr Bradley Wyatt Holt, MD 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 Ph: (520) 382-8200 |
Sheldon E Gingerich, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 630 N Alvernon Way, Tucson, AZ 85711 Phone: 520-322-8440 Fax: 520-322-8462 | |
Dr. Fred Neal Davis, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 6619 N Saint Andrews Dr, Tucson, AZ 85718 Phone: 616-450-6096 | |
Stephen Allen Shiller, Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 N. Campbell Ave., Tucson, AZ 85724 Phone: 520-626-0887 | |
Mark Alan Tiffany, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 E Broadway Blvd, Tucson, AZ 85711 Phone: 520-399-6000 Fax: 520-399-6002 | |
Kyung Jang Chen, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 E. Grant Rd., Orthopaedic Bldg, 1st Floor, Tucson, AZ 85712 Phone: 520-784-6200 Fax: 520-784-6109 | |
Ms. Johnna Gigi Hayse, FNP-C Pain Medicine Medicare: Medicare Enrolled Practice Location: 7494 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-395-0512 Fax: 520-505-4108 |