| Charles Crane, MD | |
|
102 Euclid Avenue, Suite 202, Sandpoint, ID 83864-4912 | |
| (208) 263-6876 | |
| (208) 263-2033 |
| Full Name | Charles Crane |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 102 Euclid Avenue, Suite 202, Sandpoint, 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 |
|---|---|---|---|
| 1194762732 | NPI | - | NPPES |
| 59565 | Other | ID | PIN |
| 806836200 | Medicaid | ID | |
| 000010146473 | Other | ID | PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M9058 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eden Home Health | Sandpoint, ID | Home health agency |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Boundary Community Hospital | Bonners ferry, ID | Hospital |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bonner General Hospital Inc | 4082690466 | 36 |
| Internal Medicine Associates, P.a. | 1759366818 | 4 |
| Entity Name | Internal Medicine Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154361988 PECOS PAC ID: 1759366818 Enrollment ID: O20040622001333 |
| Entity Name | Bonner General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Crane, MD Po Box 550, Sandpoint, ID 83864-0550 Ph: (208) 263-6876 | Charles Crane, MD 102 Euclid Avenue, Suite 202, Sandpoint, ID 83864-4912 Ph: (208) 263-6876 |
Dr. Russell R Blakeley, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 606 N Third Ave, Suite 203, Sandpoint, ID 83864 Phone: 208-263-8505 Fax: 208-263-2908 | |
Dr. Gregory D Pennock, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 423 N Third Ave Ste 335, Sandpoint, ID 83864 Phone: 208-265-7070 Fax: 208-265-7071 | |
Scott Burgstahler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 Church St, Sandpoint, ID 83864 Phone: 208-263-6876 Fax: 208-263-2033 | |
Lawrence Derbes Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 423 N Third Ave Ste 355, Sandpoint, ID 83864 Phone: 208-265-7070 Fax: 208-265-7071 | |
Dr. Ronald D Jenkins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave, Suite 203, Sandpoint, ID 83864 Phone: 208-263-2505 Fax: 208-263-2908 |