Michael C Walters, MD | |
2817 New Pinery Rd, Portage, WI 53901-9240 | |
(608) 745-5689 | |
(608) 742-6098 |
Full Name | Michael C Walters |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2817 New Pinery Rd, Portage, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063473973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 43499 (Wisconsin) | Primary |
Entity Name | Aspirus Medford Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
Entity Name | Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831251040 PECOS PAC ID: 1557271202 Enrollment ID: O20040212000310 |
Entity Name | Divine Savior Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
Entity Name | Aspirus Riverview Hospital & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945 |
Mailing Address | Practice Location Address |
---|---|
Michael C Walters, MD 2817 New Pinery Road, Divine Savior Healthcare, Portage, WI 53901-0387 Ph: (608) 745-5689 | Michael C Walters, MD 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 745-5689 |
Terra Thimm, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
James T Gariti Sr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-742-6098 | |
Gregory S Keeling, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-5173 | |
Jennifer Marie Bahr, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Divine Savior Healthcare, Inc., Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-5173 | |
Mr. Brian T. Stubitsch, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-742-6098 | |
Hythem Abad, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 |