| Christopher Bodle, MD | |
|
100 Hospital Dr, Ketchum, ID 83340 | |
| (208) 727-8100 | |
| (208) 727-8124 |
| Full Name | Christopher Bodle |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 100 Hospital Dr, Ketchum, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720407232 | NPI | - | NPPES |
| Entity Name | The Carolinas Emergency Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
| Entity Name | Western Carolina Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134391758 PECOS PAC ID: 8921171190 Enrollment ID: O20080721000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Bodle, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Christopher Bodle, MD 100 Hospital Dr, Ketchum, ID 83340 Ph: (208) 727-8100 |
Kevin Kittleson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100 | |
Dr. Janet Anne Rosenquist, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Drive., Ketchum, ID 83340 Phone: 208-727-8100 Fax: 208-727-8124 | |
Keith Thomas Sivertson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8445 Fax: 298-727-8446 | |
Kelly Dilorenzo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8100 | |
Deborah G Robertson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100 | |
Dr. Jennie Hooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8283 | |
Mrs. Autumn M Loomis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8100 |