John M Koller, MD | |
202 Center Ave., Ste. 102, Kodiak, AK 99615-1126 | |
(907) 486-6188 | |
(907) 486-6146 |
Full Name | John M Koller |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 32 Years |
Location | 202 Center Ave., Kodiak, Alaska |
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 |
---|---|---|---|
1588721195 | NPI | - | NPPES |
K151630 | Other | MEDICARE ID ( DEACTIVATED AFTER 5.16.09) | |
MD10072 | Medicaid | AK | |
K162501 | Other | MEDICARE ID 6.29.09 - PRESENT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3737 (Alaska) | Secondary |
207Q00000X | Family Medicine | S3737 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Kodiak Island Medical Ctr | Kodiak, AK | Hospital |
Entity Name | Kodiak Island Ambulatory Care Clinic Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366596504 PECOS PAC ID: 3476608365 Enrollment ID: O20090828000082 |
Mailing Address | Practice Location Address |
---|---|
John M Koller, MD Po Box 1126, Kodiak, AK 99615-1126 Ph: (907) 486-6188 | John M Koller, MD 202 Center Ave., Ste. 102, Kodiak, AK 99615-1126 Ph: (907) 486-6188 |
Dr. Paul Victor Zimmer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1911 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-5000 Fax: 907-481-5030 | |
Sam J Chelmo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-942-5496 | |
Dayna Ferguson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9521 | |
Dr. Kevin Joseph Nolan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210b Albatross Ave, Kodiak, AK 99615 Phone: 907-487-5757 | |
Dr. Thomas Hugh Solenberger, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1955 Marmot Dr, Kodiak, AK 99615 Phone: 907-512-0495 Fax: 907-512-0495 | |
Dr. Heidi Coryell Lowrey Baines, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 | |
Kevin Creelman, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Center Ave Ste 100, Kodiak, AK 99615 Phone: 907-486-4183 Fax: 907-486-4233 |