Jessie Lyn Kautzman, MD | |
401 S Alabama St Ste 6a, Butte, MT 59701-2358 | |
(406) 563-7239 | |
(406) 782-2890 |
Full Name | Jessie Lyn Kautzman |
---|---|
Gender | Female |
Speciality | General Practice |
Location | 401 S Alabama St Ste 6a, Butte, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366424558 | NPI | - | NPPES |
1366424558 | Other | MT | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10036 (Montana) | Secondary |
208D00000X | General Practice | 10036 (Montana) | Primary |
Entity Name | Community Hospital Of Anaconda |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1205887924 PECOS PAC ID: 8123938974 Enrollment ID: O20030507000045 |
Entity Name | Community Hospital Of Anaconda |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538597703 PECOS PAC ID: 8123938974 Enrollment ID: O20031119000745 |
Entity Name | Scl Health Medical Group-butte Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477869600 PECOS PAC ID: 2466633102 Enrollment ID: O20110301000023 |
Mailing Address | Practice Location Address |
---|---|
Jessie Lyn Kautzman, MD 401 W Pennsylvania Ave Ste 300, Anaconda, MT 59711-1999 Ph: (406) 563-8500 | Jessie Lyn Kautzman, MD 401 S Alabama St Ste 6a, Butte, MT 59701-2358 Ph: (406) 563-7239 |
George C Mulcaire-jones, MD General Practice Medicare: Medicare Enrolled Practice Location: 435 S Crystal St Ste 300, Butte, MT 59701 Phone: 406-496-3600 Fax: 406-496-3672 |