Dr Brian A Holtan, MD - Medicare Diagnostic Radiology in Peoria, AZ

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Dr Brian A Holtan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Peoria, Arizona. He went to University Of Washington School Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Smi Imaging Llc and his current practice location is 31003 N 118th Ln, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 242-6958.

Dr Brian A Holtan is licensed to practice in Arizona (license number 36220) 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 1265469399.

Contact Information

Dr Brian A Holtan, MD
31003 N 118th Ln,
Peoria, AZ 85383-8240
(623) 242-6958
Not Available

Map and Direction




Physician's Profile

Full NameDr Brian A Holtan
GenderMale
SpecialityDiagnostic Radiology
Experience43 Years
Location31003 N 118th Ln, Peoria, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Brian A Holtan attended and graduated from University Of Washington School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1265469399
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 07/28/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0941252795
  • Enrollment ID: I20070517000667

Medical Identifiers

Medical identifiers for Dr Brian A Holtan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265469399NPI-NPPES
83022243882901A002OtherWYTRIWEST COLLEGE
83022243882935A002OtherWYTRIWEST UINTA
103629700MedicaidWY
1265469399MedicaidUT
179931MedicaidAZ
305941OtherWYBCBS OF WY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 3921A (Wyoming)Secondary
2085R0202XRadiology - Diagnostic Radiology 36220 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smi Imaging Llc3476696220255

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. Dr Brian A Holtan allows following entities to bill medicare on his behalf.
Entity NameSimonmed Imaging Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477830818
PECOS PAC ID: 6608036108
Enrollment ID: O20160712002225
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142
Entity NameHealth Diagnostics Of California A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20200313001484

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. Dr Brian A Holtan 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 AddressPractice Location Address
Dr Brian A Holtan, MD
31003 N 118th Ln,
Peoria, AZ 85383-8240

Ph: (623) 242-6958		Dr Brian A Holtan, MD
31003 N 118th Ln,
Peoria, AZ 85383-8240

Ph: (623) 242-6958

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.