| Benjamin Collins Krasin, MD | |
|
25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 | |
| (208) 784-1221 | |
| (208) 784-0961 |
| Full Name | Benjamin Collins Krasin |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 25 Jacobs Gulch Rd, Kellogg, Idaho |
| 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 |
|---|---|---|---|
| 1316327927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M-17682 (Idaho) | Secondary |
| 208M00000X | Hospitalist | M-17682 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | 01080365A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Shoshone Medical Center | Kellogg, ID | Hospital |
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Of Idaho | 4688705346 | 62 |
| Shoshone Medical Center | 6103739107 | 25 |
| Entity Name | Shoshone Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043215437 PECOS PAC ID: 6103739107 Enrollment ID: O20050113001084 |
| Entity Name | Shoshone Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043215437 PECOS PAC ID: 6103739107 Enrollment ID: O20061104000442 |
| Entity Name | Sound Physicians Of Idaho |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730407461 PECOS PAC ID: 4688705346 Enrollment ID: O20100624000921 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Collins Krasin, MD 2401 W University Ave, Muncie, IN 47303-3428 Ph: (765) 747-4306 | Benjamin Collins Krasin, MD 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 Ph: (208) 784-1221 |
Frederick R Haller, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 208-786-4471 | |
Dr. Sue Castleman, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 208-786-4471 |