| Walker Mainwaring, MD | |
| 11835 Queens Blvd Lowr Leve, Forest Hills, NY 11375-7200 | |
| (212) 283-3000 | |
| Not Available | 
| Full Name | Walker Mainwaring | 
|---|---|
| Gender | Male | 
| Speciality | Dermatology | 
| Location | 11835 Queens Blvd Lowr Leve, Forest Hills, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447888144 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 329828 (New York) | Primary | 
| Entity Name | Southern California Permanente Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Walker Mainwaring, MD 100 E Lancaster Ave, Wynnewood, PA 19096-3450 Ph: (484) 476-2000 | Walker Mainwaring, MD 11835 Queens Blvd Lowr Leve, Forest Hills, NY 11375-7200 Ph: (212) 283-3000 | 
| Dr. Tamara Moss, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10840 Queens Blvd, Forest Hills, NY 11375 Phone: 925-477-3901 Fax: 925-477-9900 | |
| Mee Yuen Leung, M.D Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6860 Austin St, Forest Hills, NY 11375 Phone: 718-896-4100 Fax: 718-896-7760 | |
| Dr. Howard David Solomon, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10460 Queens Blvd, Forest Hills, NY 11375 Phone: 718-275-5555 Fax: 718-275-2610 | |
| Dr. Stuart Bitterman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 7734 113th St, Forest Hills, NY 11375 Phone: 718-544-6650 Fax: 516-569-5893 | |
| Stefan Bradu, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 10721 Queens Blvd, Suite1, Forest Hills, NY 11375 Phone: 718-541-0593 | |
| Michael Paltiel, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 6405 Yellowstone Blvd, Cfu 101, Forest Hills, NY 11375 Phone: 718-896-3376 Fax: 718-795-1005 |