| Brett T Mumford, DO | |
|
301 Cedar St, Orofino, ID 83544-9029 | |
| (208) 476-5777 | |
| (208) 476-5385 |
| Full Name | Brett T Mumford |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 301 Cedar St, Orofino, 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 |
|---|---|---|---|
| 1164463113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O266 (Idaho) | Secondary |
| 207P00000X | Emergency Medicine | O-266 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Hospice | Payette, ID | Hospice |
| Horizon Hospice | Meridian, ID | Hospice |
| Blue Mountain Hospital | John day, OR | Hospital |
| Syringa General Hospital | Grangeville, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jonathan Barrus Do Pc | 8729489620 | 5 |
| Blue Mountain Hospital District | 5193719219 | 21 |
| Syringa General Hospital District C I F | 6800707530 | 18 |
| Entity Name | Clearwater Valley Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
| Entity Name | Walter Knox Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419018 PECOS PAC ID: 7012907785 Enrollment ID: O20040514000512 |
| Entity Name | Syringa General Hospital District C I F |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750336608 PECOS PAC ID: 6800707530 Enrollment ID: O20041008000778 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134333495 PECOS PAC ID: 7315908894 Enrollment ID: O20041019001205 |
| Entity Name | St. Mary's Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20050316000814 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
| Entity Name | St. Mary's Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20061104000429 |
| Entity Name | Hospitalist Medicine Physicians Of Idaho- Nampa Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558995316 PECOS PAC ID: 2365871688 Enrollment ID: O20200407001850 |
| Entity Name | Jonathan Barrus Do Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699375659 PECOS PAC ID: 8729489620 Enrollment ID: O20210630000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett T Mumford, DO 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 476-5777 | Brett T Mumford, DO 301 Cedar St, Orofino, ID 83544-9029 Ph: (208) 476-5777 |
Dr. Joshua Jacob Morris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10620 Highway 12, Orofino, ID 83544 Phone: 208-476-3158 Fax: 208-476-5385 | |
Dr. Shelly Frances Frayser, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-5777 Fax: 208-476-5385 |