| Theodore Maillette, MD | |
|
70 Village Loop Rd, Kalispell, MT 59901-2793 | |
| (406) 752-8877 | |
| (406) 756-3245 |
| Full Name | Theodore Maillette |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 70 Village Loop Rd, Kalispell, 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 |
|---|---|---|---|
| 1912403072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 148638 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System Eau Claire Hospital | Eau claire, WI | Hospital |
| Kalispell Regional Medical Center | Kalispell, MT | Hospital |
| Mayo Clinic Health System-red Cedar Inc | Menomonie, WI | Hospital |
| Mayo Clinic Health System Oakridge | Osseo, WI | Hospital |
| Mayo Clinic Health System Chippewa Valley | Bloomer, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-northwest Wisconsin Region Inc | 4385553627 | 707 |
| Kalispell Regional Medical Center Inc | 5294644381 | 380 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740239557 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000112 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912958026 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000215 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700837812 PECOS PAC ID: 4385553627 Enrollment ID: O20171012001230 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Maillette, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Theodore Maillette, MD 70 Village Loop Rd, Kalispell, MT 59901-2793 Ph: (406) 752-8877 |
Charles Dixon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1287 Burns Way, Kalispell, MT 59901 Phone: 406-752-8120 Fax: 406-752-8134 | |
Alexander Bokor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8 1st St E, Suite 104, Kalispell, MT 59901 Phone: 406-393-2098 Fax: 406-393-2097 | |
Kenneth L Jonas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 202 Conway Dr, Suite 100, Kalispell, MT 59901 Phone: 406-751-5662 Fax: 406-755-0971 | |
Dr. Laura Winstead Pratt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Montana Center, 245 Windward Way, Ste101, Kalispell, MT 59901 Phone: 406-756-8488 Fax: 406-257-4663 | |
Kevin A Kropp, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1280 Burns Way, Kalispell, MT 59901 Phone: 406-755-5266 | |
Pamela A Roberts, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 245 Windward Way, Suite 101, Kalispell, MT 59901 Phone: 406-752-8433 Fax: 406-756-6768 | |
Samantha Noel Greenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 1st Ave W, Kalispell, MT 59901 Phone: 406-751-8113 Fax: 406-751-8102 |