| Dr Kevin Kalwerisky, MD | |
|
101 Bodin Cir, 60 Mdg / Sgcxe, Travis Afb, CA 94535-1809 | |
| (707) 423-3531 | |
| (707) 423-3260 |
| Full Name | Dr Kevin Kalwerisky |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801019898 | NPI | - | NPPES |
| 35095386 | Other | OH | OHIO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 35095386 (Ohio) | Primary |
| Entity Name | Lawrence E. Samuels M.d., Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225179724 PECOS PAC ID: 0749221836 Enrollment ID: O20050519000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Kalwerisky, MD 101 Bodin Cir, 60 Mdg / Sgcxe, Travis Afb, CA 94535-1809 Ph: (707) 423-3531 | Dr Kevin Kalwerisky, MD 101 Bodin Cir, 60 Mdg / Sgcxe, Travis Afb, CA 94535-1809 Ph: (707) 423-3531 |
Dr. Joseph Albert Giovannini, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7165 | |
Dr. David Philip Simon, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7842 | |
Alexandra Papp, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Dr. William Frank Cappiello, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7137 |