Kenneth Peter Walsh, MD | |
250 S Crescent Dr, Mason City, IA 50401-2926 | |
(641) 494-5400 | |
(641) 494-5403 |
Full Name | Kenneth Peter Walsh |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 250 S Crescent Dr, Mason City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225458144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MD-54007 (Iowa) | Primary |
Entity Name | River City Vascular Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245773811 PECOS PAC ID: 1557646494 Enrollment ID: O20170316000684 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Peter Walsh, MD 250 S Crescent Dr, Mason City, IA 50401-2926 Ph: (641) 494-5400 | Kenneth Peter Walsh, MD 250 S Crescent Dr, Mason City, IA 50401-2926 Ph: (641) 494-5400 |
Dr. Gregory Grimberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 S Crescent Dr, Mason City, IA 50401 Phone: 641-494-5300 Fax: 641-494-5321 | |
Leslie W Smith, DO Surgery Medicare: Medicare Enrolled Practice Location: 1501 4th St Sw, Mason City, IA 50401 Phone: 641-428-5932 Fax: 641-428-6160 | |
Matthew Paul Doering, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 4th St Sw, Mason City, IA 50401 Phone: 641-428-8001 | |
Dr. Erik David Brink, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 S Crescent Dr, Mason City, IA 50401 Phone: 641-494-5260 | |
Matthew W Fabian, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 S Crescent Dr, Mason City, IA 50401 Phone: 641-494-5260 Fax: 641-494-5267 | |
Dr. Christopher S Martin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 S Crescent Dr, Mason City, IA 50401 Phone: 641-494-5260 |