Mr Walter Douglas Kolmodin, DPM is a medicare enrolled "Podiatrist" provider in Granger, Indiana. His current practice location is
14950 State Road 23, Granger, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 259-9668.
Mr Walter Douglas Kolmodin is licensed to practice in Indiana (license number 07000902A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265427645.
Healthcare Provider's Profile
Full Name | Mr Walter Douglas Kolmodin |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 14950 State Road 23, Granger, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Walter Douglas Kolmodin attended and graduated from in
NPI Data:
- NPI Number: 1265427645
- Provider Enumeration Date: 09/13/2005
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Walter Douglas Kolmodin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265427645 | NPI | - | NPPES |
000000262667 | Other | IN | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 07000902A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Walter Douglas Kolmodin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Walter Douglas Kolmodin, DPM 14950 State Road 23, Granger, IN 46530-7564 Ph: (574) 259-9668 | Mr Walter Douglas Kolmodin, DPM 14950 State Road 23, Granger, IN 46530-7564 Ph: (574) 259-9668 |
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