Walter M Maier, MD,MPH

Individual provider Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Lake Arrowhead, CA

NPI 1235175233 · NPPES record last updated Jun 16, 2009

Key facts

NPI
1235175233
Entity type
Individual (NPI type 1)
Primary specialty
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
License
G82114 (CA)
Practice address
29099 Hospital Road
Suite 112
Lake Arrowhead, CA 92352
Phone
(909) 337-3661
Fax
(909) 337-3570
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Preventive Medicine
Also: Emergency Medicine, Family Practice
Education
Loma Linda University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29099 Hospital Rd
Suite 112
Lake Arrowhead, CA 92352-9779
Phone (909) 337-3661

Hospital & facility affiliations

  • Lake Arrowhead Home Healthcare, LLC Home health agency · Lake Arrowhead, CA · CCN 553182
  • Mountains Community Hospital Hospital · Lake Arrowhead, CA · CCN 051312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Removal of nail tissue35

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040401000539 CA Practitioner - Preventive Medicine
Practitioner - General Surgery
Practitioner - Family Practice
Practitioner - Emergency Medicine
0648262469 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82114CAMDPharmacist

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
W Maier Inc Emergency Medicine Current
since Dec 8, 2008
Accepting new patients
River View Emergency Physicians Emergency Medicine Past Accepting new patients
San Bernardino Mountains Community Hospital District Past Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: maierw@mchcares.securechart.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G82114 CA
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X G82114 CA Yes
General Practice Physician 208D00000X G82114 CA

Addresses

Primary practice location

29099 Hospital Road
Suite 112
Lake Arrowhead, CA 92352

Mailing address

PO Box 1141
Cedar Glen, CA 92321-1141
Phone (909) 337-3661

Other providers in Lake Arrowhead, CA

All providers in Lake Arrowhead, CA · Preventive Medicine/Occupational Environmental Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.