Theresa Bartoldus
Medical Specialty
Professional ID
- NPI: 1871991661
- PECOS ID: 9931417029
- Enrollment ID: I20151009002263
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2014
Hospital Service
- Hospital CCN1: 020026
- Business Name (LBN)1: Alaska Native Medical Center
Medical Practices
- Organization Name: Kodiak Area Native Association
- Group Practice ID assigned by PECOS: 8426959297
- Number of Group Practice member: 27
Location
- Address1: 3449 E Rezanof Dr
- Address2:
- City: Kodiak
- State: Alaska
- Zip Code: 99615
- Phone Number: (907)486-9800
Medical Practices
- Organization Name: Tanana Chiefs Conference
- Group Practice ID assigned by PECOS: 9537050109
- Number of Group Practice member: 119
Location
- Address1: 1717 W Cowles St
- Address2:
- City: Fairbanks
- State: Alaska
- Zip Code: 99701
- Phone Number: (907)451-6682
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):