| Katherine A Tetrault, PA | |
|
600 Mt Highway 91 S, Dillon, MT 59725-7379 | |
| (406) 683-3051 | |
| Not Available |
| Full Name | Katherine A Tetrault |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 600 Mt Highway 91 S, Dillon, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306153432 | NPI | - | NPPES |
| MED-PAC-LIC-18647 | Other | MT | STATE OF MONTANA PHYSICIAN ASSISTANT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085003834 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | MED-PAC-LIC-18647 (Montana) | Primary |
| Entity Name | Lewis and Clark Emergency Physicians P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083668651 PECOS PAC ID: 0941196497 Enrollment ID: O20040223001126 |
| Entity Name | St Peters Health |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1033354683 PECOS PAC ID: 7911814926 Enrollment ID: O20090202000564 |
| Entity Name | Barrett Hospital Development Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326042078 PECOS PAC ID: 4082904487 Enrollment ID: O20160928000919 |
| Entity Name | Barrett Hospital Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1396286480 PECOS PAC ID: 4082904487 Enrollment ID: O20170223001015 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine A Tetrault, PA 244 Tuke Ln, Twin Bridges, MT 59754-9735 Ph: (406) 925-9707 | Katherine A Tetrault, PA 600 Mt Highway 91 S, Dillon, MT 59725-7379 Ph: (406) 683-3051 |
Mrs. Kymberly M Tart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 |
Martin Eugene Hensel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 |
Rachel Dean Smetanka, PH.D. MPAS PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 |
Tery Allen Hursh, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 120 S. Atlantic, Dillon, MT 59725 Phone: 406-683-4400 Fax: 406-683-4408 |
Julie Ann Seminara, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 S Atlantic St, Dillon, MT 59725 Phone: 406-683-4400 Fax: 406-683-4408 |