| Mr Mark W Walter, MD | |
|
1690 Elm St Ste 300, Dubuque, IA 52001-3679 | |
| (563) 690-2850 | |
| (563) 582-5335 |
| Full Name | Mr Mark W Walter |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 24 Years |
| Location | 1690 Elm St Ste 300, Dubuque, Iowa |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205910643 | NPI | - | NPPES |
| MD-48932 | Other | IA | STATE MEDICAL LICENSE |
| 72459 | Other | MN | STATE MEDICAL LICENSE |
| 7585A | Other | WY | STATE MEDICAL LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mille Lacs Health System | Onamia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crescent Community Health Center | 0345343158 | 17 |
| Entity Name | Mille Lacs Health System |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20070910000977 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark W Walter, MD Po Box 3011, Gillette, WY 82717-3011 Ph: (307) 688-5000 | Mr Mark W Walter, MD 1690 Elm St Ste 300, Dubuque, IA 52001-3679 Ph: (563) 690-2850 |
Peter Joseph Szeibel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 197 Concord St, Dubuque, IA 52003 Phone: 563-580-2219 | |
Paula A. Aston, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 Langworthy St, Dubuque, IA 52001 Phone: 563-584-3495 | |
Dr. Roger D. Shafer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 N Grandview Ave, Dubuque, IA 52001 Phone: 563-589-2529 Fax: 563-589-2686 | |
Adib Kassas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 Langworthy St, Dubuque, IA 52001 Phone: 563-584-3500 Fax: 563-584-3520 | |
Anupama Upadhyay, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 Langworthy St, Dubuque, IA 52001 Phone: 563-584-3500 Fax: 563-584-3520 | |
Dr. Mark Wilbur Fortson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2255 Jfk Rd, Dubuque, IA 52002 Phone: 563-582-4357 Fax: 563-582-5718 |