Dr Roland Hayes Walker, MD | |
601 W Kieffer Rd, Michigan City, IN 46360-9599 | |
(219) 210-3676 | |
(219) 939-6090 |
Full Name | Dr Roland Hayes Walker |
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Gender | Male |
Speciality | Pediatrics |
Location | 601 W Kieffer Rd, Michigan City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891875647 | NPI | - | NPPES |
200811740A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 01060204A (Indiana) | Secondary |
208000000X | Pediatrics | 01060204A (Indiana) | Primary |
Entity Name | Porter-starke Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098 |
Entity Name | Edgewater Systems For Balanced Living Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588705784 PECOS PAC ID: 9234398397 Enrollment ID: O20120308000405 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552 |
Mailing Address | Practice Location Address |
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Dr Roland Hayes Walker, MD 1001 N Vermillion St, Gary, IN 46403-1541 Ph: (219) 939-8970 | Dr Roland Hayes Walker, MD 601 W Kieffer Rd, Michigan City, IN 46360-9599 Ph: (219) 210-3676 |
Dr. Courtney Elizabeth Glos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Alfred St, Michigan City, IN 46360 Phone: 219-872-6200 Fax: 219-879-2915 | |
Jagjeevan Rao Gandra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 Franklin St, Michigan City, IN 46360 Phone: 219-874-3313 Fax: 219-878-2330 | |
Yoo Paik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-878-5036 Fax: 219-873-2931 | |
Gregoria B Landicho, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1501 Wabash, Suite #202, Michigan City, IN 46360 Phone: 219-877-1965 Fax: 219-877-1066 | |
Ms. Chantal L Walker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 E Coolspring Ave Ste 1c, Michigan City, IN 46360 Phone: 219-861-5719 Fax: 219-861-5774 | |
Mark Jacobi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-878-5037 Fax: 219-873-2931 | |
Razia Begum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Franklin St, Michigan City, IN 46360 Phone: 219-872-6200 Fax: 219-879-2915 |