| Dr Douglas Keith Holtzman, MD | |
|
136 Stonemark Ln Ste 100, Columbia, SC 29210-3881 | |
| (888) 704-4661 | |
| (888) 239-2595 |
| Full Name | Dr Douglas Keith Holtzman |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 136 Stonemark Ln Ste 100, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902881717 | NPI | - | NPPES |
| 89131M9 | Medicaid | NC | |
| 144472 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 200200544 (North Carolina) | Primary |
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 200200544 (North Carolina) | Secondary |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Keith Holtzman, MD 187 N Church St Ste 201, Spartanburg, SC 29306-5154 Ph: (800) 932-2738 | Dr Douglas Keith Holtzman, MD 136 Stonemark Ln Ste 100, Columbia, SC 29210-3881 Ph: (888) 704-4661 |
Argiri X Brook, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 Phone: 803-434-2300 Fax: 803-434-8686 | |
Dr. Beverley Deloris Wilson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Harbison Way Ste 221, Columbia, SC 29212 Phone: 803-724-7560 Fax: 833-320-1558 | |
Dr. William Joseph Westerkam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Harbison Blvd, Ste 290, Columbia, SC 29212 Phone: 803-749-0181 Fax: 803-749-3229 | |
Michael Cory Lever, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-6771 Fax: 803-434-3955 | |
Dr. Bhavana R Yajnik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1333 Taylor St, Suite 6a, Columbia, SC 29201 Phone: 803-254-2706 Fax: 803-254-1318 | |
Andrew Marshall Reittinger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Medical Park Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 Phone: 803-434-6155 Fax: 803-434-6979 | |
Dr. Sarah Allen Barnes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-434-6155 Fax: 803-434-3855 |