| Grant Michael Wallenfelsz, MD | |
|
Bldg #50 Farenholt Ave, Agana Heights, GU 96910 | |
| (671) 344-9340 | |
| Not Available |
| Full Name | Grant Michael Wallenfelsz |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 5 Years |
| Location | Bldg #50 Farenholt Ave, Agana Heights, Guam |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194353318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | T3715 (Texas) | Primary |
| 207P00000X | Emergency Medicine | A187218 (California) | Secondary |
| 207P00000X | Emergency Medicine | M-2480 (Guam) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1093 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Michael Wallenfelsz, MD Psc 455 Box 208, Fpo, AP 96540-0003 Ph: () - | Grant Michael Wallenfelsz, MD Bldg #50 Farenholt Ave, Agana Heights, GU 96910 Ph: (671) 344-9340 |
Mallori Marie Wilson, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: U.s. Naval Hospital Guam, Agana Heights, GU 96910 Phone: 671-344-9340 | |
Dr. Thomas C Baugh, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: U.s. Naval Hospital Guam, Farenholt Street, Building K-1, Agana Heights, GU 96919 Phone: 671-344-9232 | |
Dr. Alexander Janson Salazar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Farenholt Ave, Bldg 50, Agana Heights, GU 96910 Phone: 671-344-9232 | |
Dr. Christopher Boyd Chisholm, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Us Naval Hospital Guam, Farenholt Ave Bld K1, Agana Heights, GU 96919 Phone: 671-344-9619 | |
Dr. John T Haggerty, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Bldg 50, Farenholt Ave, Agana Heights, GU 96910 Phone: 671-344-9340 | |
Daniel Rupert Neren, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: U.s. Naval Hospital Guam, Bldg 50, Farenholt Ave, Agana Heights, GU 96910 Phone: 671-344-9340 |