| Brendan A Mielke, MD | |
|
700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401 | |
| (208) 625-6100 | |
| Not Available |
| Full Name | Brendan A Mielke |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 33 Years |
| Location | 700 W Ironwood Dr Ste 375, Coeur D Alene, 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 |
|---|---|---|---|
| 1265425532 | NPI | - | NPPES |
| 8281941 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | M-8328 (Idaho) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | MD00040221 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc Hayden Lake | Coeur d'alene, ID | Dialysis facility |
| Liberty Dialysis - Sandpoint | Sandpoint, ID | Dialysis facility |
| Fmc Post Falls Dialysis Unit | Post falls, ID | Dialysis facility |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Newport Community Hospital | Newport, WA | Hospital |
| Boundary Community Hospital | Bonners ferry, ID | Hospital |
| Benewah Community Hospital | St maries, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kootenai Health Inc | 1355792276 | 382 |
| Entity Name | Kootenai Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Brendan A Mielke, MD Po Box 3649, Spokane, WA 99220-3649 Ph: () - | Brendan A Mielke, MD 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401 Ph: (208) 625-6100 |
Diana Johns, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2248 W Rosebud Ln, Coeur D Alene, ID 83814 Phone: 907-687-6248 | |
Marc Olav Granrud, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6900 Fax: 208-625-6710 | |
Kevin Nathaniel Brown, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6900 Fax: 208-625-6910 | |
Edward J Macinerney, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814 Phone: 208-625-5250 Fax: 208-625-5251 | |
Pablo Fernando Michel Sanchez, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 350, Coeur D Alene, ID 83814 Phone: 208-625-5250 Fax: 208-625-5251 | |
Dr. Amanda Rose Liggett, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-765-1494 | |
Dr. Robert Scoggins, M.D., PH.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-765-1252 Fax: 208-765-1494 |