| Kyle Kaltwasser, | |
|
1501 Ne Medical Center Dr, Bend, OR 97701-6051 | |
| (541) 382-4900 | |
| Not Available |
| Full Name | Kyle Kaltwasser |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 1501 Ne Medical Center Dr, Bend, Oregon |
| 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 |
|---|---|---|---|
| 1750769949 | NPI | - | NPPES |
| 500863701 | Medicaid | OR | |
| R274147 | Other | OR | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD224801 (Oregon) | Primary |
| 207N00000X | Dermatology | R8921 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oliver Street 5.01(a) Inc | 0042464125 | 149 |
| Entity Name | Oliver Street 5.01(a) Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Kaltwasser, 1501 Ne Medical Center Dr, Bend, OR 97701-6051 Ph: (541) 382-4900 | Kyle Kaltwasser, 1501 Ne Medical Center Dr, Bend, OR 97701-6051 Ph: (541) 382-4900 |
Dr. Oliver Jayme Wisco, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: Dermatology Health Spcecialist, 1693 Sw Chandler Ave Suite 250, Bend, OR 97702 Phone: 541-382-8819 | |
Dr. Stephanie Alice Trautman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2747 Ne Conners Ave, Bend, OR 97701 Phone: 541-382-5712 | |
Dr. Andrew O Jensen, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 | |
Dr. James Michael Hoesly, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-322-3504 | |
Fridolin Hoesly, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2747 Ne Conners Ave, Bend, OR 97701 Phone: 541-382-5712 | |
Mrs. Jill M Olinger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-2811 | |
Ms. Kristin Jayne Neuhaus, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2747 Ne Conners Ave, Bend, OR 97701 Phone: 541-382-5712 |