Kathryn Ross Walicki, DO | |
3975 Us Hwy 93 N, Stevensville, MT 59870-6474 | |
(406) 777-6002 | |
(406) 206-2965 |
Full Name | Kathryn Ross Walicki |
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Gender | Female |
Speciality | Family Medicine |
Location | 3975 Us Hwy 93 N, Stevensville, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144783929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MED-PHYS-LIC-11621 (Montana) | Primary |
Entity Name | Marcus Daly Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659475846 PECOS PAC ID: 5597664474 Enrollment ID: O20040202001033 |
Entity Name | Marcus Daly Memorial Hospital Corporation |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1659475846 PECOS PAC ID: 5597664474 Enrollment ID: O20061104000439 |
Mailing Address | Practice Location Address |
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Kathryn Ross Walicki, DO 1224 W Main St, Hamilton, MT 59840-2338 Ph: () - | Kathryn Ross Walicki, DO 3975 Us Hwy 93 N, Stevensville, MT 59870-6474 Ph: (406) 777-6002 |
Sari Rey Kerslake, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Main St, Stevensville, MT 59870 Phone: 406-777-7251 Fax: 406-777-7127 | |
Dr. Angela Rea Haugo, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 715 Main St Ste A, Stevensville, MT 59870 Phone: 406-777-5522 | |
Gabriel Dane Charbonneau, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Main St Ste A, Stevensville, MT 59870 Phone: 406-777-5522 | |
Kirk L. Crews, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Main Street, Stevensville, MT 59870 Phone: 406-777-7251 Fax: 406-777-7127 | |
Michelle Lynn Metcalf, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3975 Us Highway 93 N, Stevensville, MT 59870 Phone: 406-777-6002 | |
Mark Paul, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3800 Eastside Hwy, Stevensville Community Medical Center, Stevensville, MT 59870 Phone: 406-777-2775 Fax: 406-777-2796 |