Mrs Laura Marie Walters, MD | |
1911 E Rezanof Dr, Kodiak, AK 99615-6602 | |
(907) 481-5000 | |
(907) 481-5030 |
Full Name | Mrs Laura Marie Walters |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 29 Years |
Location | 1911 E Rezanof Dr, Kodiak, Alaska |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831162825 | NPI | - | NPPES |
920088665 | Other | CLINIC TAX ID | |
MD4067 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4067 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Kodiak Island Medical Ctr | Kodiak, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kodiak Island Health Care Foundation | 8022922509 | 14 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952430902 PECOS PAC ID: 5799675120 Enrollment ID: O20040318000605 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1013905660 PECOS PAC ID: 5799675120 Enrollment ID: O20041221000920 |
Entity Name | Kodiak Island Health Care Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326047044 PECOS PAC ID: 8022922509 Enrollment ID: O20090428000439 |
Mailing Address | Practice Location Address |
---|---|
Mrs Laura Marie Walters, MD 1911 E Rezanof Dr, Kodiak, AK 99615-6602 Ph: (907) 481-5000 | Mrs Laura Marie Walters, MD 1911 E Rezanof Dr, Kodiak, AK 99615-6602 Ph: (907) 481-5000 |
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 |