| John David Anthony Lakatua, MD | |
|
500 West Broadway, Missoula, MT 59802-4008 | |
| (406) 721-5600 | |
| (406) 721-3907 |
| Full Name | John David Anthony Lakatua |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 32 Years |
| Location | 500 West Broadway, Missoula, Montana |
| 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 |
|---|---|---|---|
| 1023063070 | NPI | - | NPPES |
| 0107763 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 8432 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc Missoula | Missoula, MT | Dialysis facility |
| Fmc Butte | Butte, MT | Dialysis facility |
| Fresenius Medical Care Polson | Polson, MT | Dialysis facility |
| St. Patrick Hospital | Missoula, MT | Hospital |
| Community Hospital Of Anaconda | Anaconda, MT | Hospital |
| St James Healthcare | Butte, MT | Hospital |
| Barrett Hospital & Healthcare | Dillon, MT | Hospital |
| Providence St Joseph Medical Center | Polson, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Mt | 6608786306 | 293 |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
| Entity Name | Providence St Joseph Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
| Mailing Address | Practice Location Address |
|---|---|
| John David Anthony Lakatua, MD Po Box 7609, Missoula, MT 59807-7609 Ph: (406) 721-5600 | John David Anthony Lakatua, MD 500 West Broadway, Missoula, MT 59802-4008 Ph: (406) 721-5600 |
Mr. George Bandow, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Simone Musco, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Rolf H O Holle, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1782 Elison Ln Unit 3, Missoula, MT 59802 Phone: 406-544-1871 | |
Mr. Curtis G Wickre, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, 4th Floor, Missoula, MT 59802 Phone: 406-327-1900 | |
Dr. Charlotte Nelson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-327-1613 | |
Annie C. Dong, M.D., M.P.H. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804 Phone: 406-327-4646 Fax: 406-327-4649 |