| Bryan C Mason, MD | |
|
775 Pole Line Rd W, Suite 105, Twin Falls, ID 83301-5814 | |
| (208) 814-8000 | |
| (208) 733-9402 |
| Full Name | Bryan C Mason |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 775 Pole Line Rd W, Twin 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 |
|---|---|---|---|
| 1316268295 | NPI | - | NPPES |
| 1316268295 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-12043 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Visions Home Health & Visions Home Care Llc | Twin falls, ID | Home health agency |
| St Lukes Magic Valley Home Health | Twin falls, ID | Home health agency |
| Hospice Visions | Twin falls, ID | Hospice |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Medstar Washington Hospital Center | Washington, DC | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Desert View Care Center Of Buhl | Buhl, ID | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic Llc | 1052217478 | 294 |
| Amber Hill Physical Therapy Inc | 8527963917 | 227 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan C Mason, MD Po Box 587, Twin Falls, ID 83303-0587 Ph: (208) 814-7400 | Bryan C Mason, MD 775 Pole Line Rd W, Suite 105, Twin Falls, ID 83301-5814 Ph: (208) 814-8000 |
Blaine Gibby, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 N College Rd Ste A&b, Twin Falls, ID 83301 Phone: 208-814-8000 Fax: 208-933-4919 | |
Dr. Cathy White Canty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452 | |
Jonathan Muretisch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Pole Line Rd Ste 2, Twin Falls, ID 83301 Phone: 208-735-3636 | |
Marc Allan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Pole Line Rd Ste 2, Twin Falls, ID 83301 Phone: 208-735-3636 Fax: 208-735-3637 | |
Steven A. Kohtz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7300 Fax: 208-933-4601 | |
Dr. Marc Van Farnworth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 | |
Dr. Nichole S Halverson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 526 Shoup Ave W Ste F, Twin Falls, ID 83301 Phone: 208-736-7620 |