| Dr Lance D Holtry, DO | |
|
5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670 | |
| (916) 933-8010 | |
| Not Available |
| Full Name | Dr Lance D Holtry |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 5137 Golden Foothill Pkwy, El Dorado Hills, California |
| 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 |
|---|---|---|---|
| 1104814037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A10368 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lance D Holtry, DO Po Box 45680, San Francisco, CA 94145-0680 Ph: (916) 933-8010 | Dr Lance D Holtry, DO 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670 Ph: (916) 933-8010 |
Tarandeep Kaur, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5137 Golden Foothill Pkwy Ste 120, El Dorado Hills, CA 95762 Phone: 916-933-8010 | |
Sana Hanafi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1264 Hawks Flight Ct Ste 100, El Dorado Hills, CA 95762 Phone: 916-933-4222 Fax: 916-933-5574 | |
Jon M. Moness, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3860 El Dorado Hills Blvd, Suit # 601, El Dorado Hills, CA 95762 Phone: 916-678-5292 | |
Shideh Chinichian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1264 Hawks Flight Ct Ste 100, El Dorado Hills, CA 95762 Phone: 916-939-8400 Fax: 916-939-8971 | |
Dr. Alice W Tse, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762 Phone: 916-933-8010 | |
Dr. Efren F Wu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1264 Hawks Flight Ct Ste 100, El Dorado Hills, CA 95762 Phone: 916-939-8400 Fax: 916-939-8971 |