Dr Lori Rae Holtzman, MD in Memphis, TN

Dr Lori Rae Holtzman, MD is a medicare enrolled "Pediatrics" physician in Memphis, Tennessee. Her current practice location is 2565 Horizon Lake Dr Ste 114, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 350-2639.

Dr Lori Rae Holtzman is licensed to practice in Tennessee (license number 31899) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023018587.

Contact Information

	Dr Lori Rae Holtzman, MD
	2565 Horizon Lake Dr Ste 114, Memphis, TN 38133-8113
	(901) 350-2639
	(901) 249-4563

Map and Direction

Physician's Profile

Full Name	Dr Lori Rae Holtzman
Gender	Female
Speciality	Pediatrics
Location	2565 Horizon Lake Dr Ste 114, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023018587
Provider Enumeration Date: 07/27/2005
Last Update Date: 03/22/2022

Medicare PECOS Information:

PECOS PAC ID: 0143114058
Enrollment ID: I20040211000887

Medical Identifiers

Medical identifiers for Dr Lori Rae Holtzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023018587	NPI	-	NPPES
00121309	Medicaid	MS
3496002	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	31899 (Tennessee)	Secondary
208000000X	Pediatrics	TNMD31899 (Tennessee)	Secondary
208000000X	Pediatrics	31899 (Tennessee)	Primary

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 Lori Rae Holtzman allows following entities to bill medicare on her behalf.

Entity Name	Cody's Center Of Hope, Dedicated Pediatric Care, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740778166 PECOS PAC ID: 0648707729 Enrollment ID: O20241231003328

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 Lori Rae Holtzman 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
Dr Lori Rae Holtzman, MD Po Box 381442, Germantown, TN 38183-1442 Ph: (901) 350-2639	Dr Lori Rae Holtzman, MD 2565 Horizon Lake Dr Ste 114, Memphis, TN 38133-8113 Ph: (901) 350-2639

Reviews and Comments

Pediatrics Doctors in Memphis, TN

Dr. Andrew Buchman Nearn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2861 Broad Ave, Memphis, TN 38112 Phone: 901-701-2520 Fax: 901-325-6469
Mimily Harsono, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-545-7100
Mr. Alberto S. Pappo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-6765 Fax: 901-521-9005
Edson Ruiz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5950
Dr. Darlene K Cash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-322-9080 Fax: 901-322-2994
Dr. Monika Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl # Ms 515, C/o Dana Cannon, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842
Benjamin R Waller Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 51 N Dunlap St Fl 2, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-287-4646

Dr Lori Rae Holtzman, MD - Medicare Pediatrics in Memphis, TN