| Martin S Walko, MD | |
|
6 Tsienneto Rd, Derry, NH 03038-1584 | |
| (603) 434-7444 | |
| (603) 434-1733 |
| Full Name | Martin S Walko |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 6 Tsienneto Rd, Derry, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104837178 | NPI | - | NPPES |
| 0RE5299 | Medicaid | VT | |
| 911003800 | Medicaid | MD | |
| 1031721820001 | Medicaid | PA | |
| 3081247 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD061845L (Pennsylvania) | Secondary |
| 208600000X | Surgery | 10637 (New Hampshire) | Primary |
| Entity Name | Holyoke Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750395737 PECOS PAC ID: 2163419383 Enrollment ID: O20040429000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin S Walko, MD 425 Black Walnut Dr, Mountain Top, PA 18707-1566 Ph: (443) 481-6538 | Martin S Walko, MD 6 Tsienneto Rd, Derry, NH 03038-1584 Ph: (603) 434-7444 |
Amila Husic, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd, Suite 203, Derry, NH 03038 Phone: 603-434-7444 Fax: 603-434-1733 | |
Miss Anne M Loosmann, MD Surgery Medicare: Medicare Enrolled Practice Location: 44 Birch St, Suite 301, Derry, NH 03038 Phone: 603-421-2427 Fax: 603-421-2428 | |
Dr. Jack Huse, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd, Suite 203, Derry, NH 03038 Phone: 603-434-7444 Fax: 603-434-1733 | |
Alexandra Merritt, CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Parkland Dr, Derry, NH 03038 Phone: 603-432-1500 | |
Dr. Scott Reynold Philipp, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 44 Birch St Ste 200, Derry, NH 03038 Phone: 603-434-7444 | |
Volker Kropp, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd, Suite 203, Derry, NH 03038 Phone: 603-434-7444 Fax: 603-434-1733 |