Brandon Lynn Miner, DO | |
2085 Providence Way, Idaho Falls, ID 83404-4945 | |
(208) 525-4888 | |
(208) 525-4885 |
Full Name | Brandon Lynn Miner |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 18 Years |
Location | 2085 Providence Way, Idaho Falls, 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 |
---|---|---|---|
1528279189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | O-0568 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Teton Valley Hospital | Driggs, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
High Valley Dermatology And Dermatologic Surgery Llc | 1850433137 | 8 |
High Valley Dermatology And Dermatologic Surgery Llc | 1850433137 | 8 |
Teton Valley Health Care Inc | 3870744956 | 29 |
Entity Name | High Valley Dermatology & Dermatologic Surgery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891025334 PECOS PAC ID: 1850433137 Enrollment ID: O20200316002465 |
Mailing Address | Practice Location Address |
---|---|
Brandon Lynn Miner, DO 2085 Providence Way, Idaho Falls, ID 83404-4945 Ph: (208) 525-4888 | Brandon Lynn Miner, DO 2085 Providence Way, Idaho Falls, ID 83404-4945 Ph: (208) 525-4888 |
Cornelius Paul Brooke, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2001 S Woodruff Ave, Ste 12a, Idaho Falls, ID 83404 Phone: 208-522-8945 Fax: 208-522-5374 | |
Dr. Lindsay D. Sewell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2085 Providence Way, Idaho Falls, ID 83404 Phone: 208-525-4888 Fax: 208-525-4885 | |
Mark E Hinkson, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3425 Merlin Dr, Ste 200, Idaho Falls, ID 83404 Phone: 208-528-6653 Fax: 208-528-6676 |