| Christopher Bodle, MD | |
|
100 Hospital Dr, Ketchum, ID 83340 | |
| (208) 727-8100 | |
| (208) 727-8124 |
| Full Name | Christopher Bodle |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 100 Hospital Dr, Ketchum, 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 |
|---|---|---|---|
| 1720407232 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mylaurel Medical Group La, Llc | 8123365467 | 12 |
| Md Ally Services Pa | 9133516743 | 17 |
| Md Ally Services Pa | 9133516743 | 17 |
| Entity Name | Mylaurel Medical Group La, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306341060 PECOS PAC ID: 8123365467 Enrollment ID: O20190124003081 |
| 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: Medicare Enrolled Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8100 | |
Deborah G Robertson, MD Emergency Medicine Medicare: Medicare Enrolled 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: Medicare Enrolled Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8100 |