MR. JOHN ROBERT HOLTTUM MD
NPI 1700839891
Psychiatry & Neurology - Child & Adolescent Psychiatry in Olympia, WA
- Individual
- Male
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- PECOS Enrolled
- Opted-Out Medicare
About JOHN HOLTTUM
This page provides the complete NPI Profile along with additional information for John Holttum, a provider established in Olympia, Washington with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1700839891 assigned on May 2006. The practitioner's primary taxonomy code is 2084P0804X with license number MD00031823 (WA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1700839891 Verify this NPI
- Provider Name
- MR. JOHN ROBERT HOLTTUM MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 324 W BAY DR NW SUITE 214A OLYMPIA, WA 98502
- Location Phone
- (360) 464-9110
- Location Fax
- (360) 350-5610
- Mailing Address
- 324 W BAY DR NW SUITE 214A OLYMPIA, WA 98502
- Mailing Phone
- (360) 464-9110
- Mailing Fax
- (360) 350-5610
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-18-2006
- Last Update Date
- 09-23-2015
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. John Holttum opted out of Medicare effective on 11-30-2017 until 11-30-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00031823
- License State
- WA
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F06336 | MEDICARE UPIN (02) | WA |
Medicare Participation & PECOS Enrollment Status
John Holttum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-30-2017
Opt-Out End Date: 11-30-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MR. JOHN ROBERT HOLTTUM MD
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700839891, enumerated as an "individual" on May 18, 2006.
The provider is located at 324 W BAY DR NW SUITE 214A OLYMPIA, WA 98502 and the phone number is (360) 464-9110.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
