Dr Lawrence G Kettwich, MD | |
2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | |
(406) 728-8420 | |
Not Available |
Full Name | Dr Lawrence G Kettwich |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 12 Years |
Location | 2825 Stockyard Rd Ste I-200, Missoula, Montana |
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 |
---|---|---|---|
1205194727 | NPI | - | NPPES |
MED-PHYS-LIC-55728 | Other | MT | MONTANA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD2016-0071 (New Mexico) | Secondary |
207L00000X | Anesthesiology | MED-PHYS-LIC-55728 (Montana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Patrick Hospital | Missoula, MT | Hospital |
Billings Clinic | Billings, MT | Hospital |
Community Medical Center | Missoula, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Missoula Anesthesiology Pc | 5597669960 | 48 |
Billings Clinic | 6002993516 | 677 |
Entity Name | Missoula Anesthesiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710931225 PECOS PAC ID: 5597669960 Enrollment ID: O20040324001699 |
Entity Name | Billings Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212 |
Mailing Address | Practice Location Address |
---|---|
Dr Lawrence G Kettwich, MD 2825 Stockyard Rd, Bldg I-200, Missoula, MT 59808 Ph: (406) 728-8420 | Dr Lawrence G Kettwich, MD 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 Ph: (406) 728-8420 |
August Denicco, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2825 Stockyard Rd Ste I-200, Missoula, MT 59808 Phone: 406-728-8420 Fax: 406-541-8430 | |
Teresa Ann Garland, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3550 Mullan Rd, Suite 103, Missoula, MT 59808 Phone: 406-728-8420 | |
Alistair James Macdonald, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3550 Mullan Rd, Suite 103, Missoula, MT 59808 Phone: 406-728-8420 | |
Bruce Allen Bollen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3550 Mullan Rd, Suite 103, Missoula, MT 59808 Phone: 406-728-8420 | |
John Kirkeide, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3550 Mullan Rd, Suite 103, Missoula, MT 59808 Phone: 406-728-8420 | |
Jason B. Tingey, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2825 Stockyard Rd, Bldg I-200, Missoula, MT 59808 Phone: 406-728-8420 Fax: 406-541-8430 | |
Cordel A Anderson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2825 Stockyard Rd, Bldg I-200, Missoula, MT 59808 Phone: 406-728-8420 Fax: 406-541-8430 |