| Christine Drivdahl-smith, MD | |
|
11 S 7th St, Suite 241, Miles City, MT 59301-3216 | |
| (406) 234-1420 | |
| (406) 234-1423 |
| Full Name | Christine Drivdahl-smith |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 11 S 7th St, Miles City, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033205687 | NPI | - | NPPES |
| 0019720 | Medicaid | MT | |
| 8591 | Other | MT | STATE LIC NUMBER |
| 000099985 | Other | MT | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8591 (Montana) | Primary |
| Entity Name | Prairie County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760489272 PECOS PAC ID: 3173501731 Enrollment ID: O20040709001087 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Drivdahl-smith, MD 11 S 7th St, Suite 241, Miles City, MT 59301-3216 Ph: (406) 234-1420 | Christine Drivdahl-smith, MD 11 S 7th St, Suite 241, Miles City, MT 59301-3216 Ph: (406) 234-1420 |
Ms. Patricia A. Grantham, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 S Haynes Ave, Miles City, MT 59301 Phone: 406-238-2500 | |
Kaycee Elizabeth Gardner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 S Haynes Ave, Miles City, MT 59301 Phone: 406-233-7000 | |
Tricia Weisgerber, RN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 S Haynes Ave, Miles City, MT 59301 Phone: 406-233-7000 | |
Susan J. Gallo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 S Haynes Ave, Miles City, MT 59301 Phone: 406-233-7000 | |
Adele Lukaszewicz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 S Winchester Ave, Miles City, MT 59301 Phone: 140-687-4560 | |
Jeannette Marielle Mcintyre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Wilson St, Miles City, MT 59301 Phone: 406-233-2500 Fax: 406-233-2553 |