| Cornelius Paul Brooke, MD | |
|
2001 S Woodruff Ave, Ste 12a, Idaho Falls, ID 83404-6374 | |
| (208) 522-8945 | |
| (208) 522-5374 |
| Full Name | Cornelius Paul Brooke |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 47 Years |
| Location | 2001 S Woodruff Ave, Idaho 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 |
|---|---|---|---|
| 1275504300 | NPI | - | NPPES |
| 002685200 | Medicaid | ID | |
| 77186 | Other | ID | BLUE CROSS |
| 58099 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 5809M (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Falls Dermatology P A | 1153409339 | 2 |
| Entity Name | Idaho Falls Dermatology P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487700464 PECOS PAC ID: 1153409339 Enrollment ID: O20080429000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Cornelius Paul Brooke, MD 2001 S Woodruff Ave, Ste 12a, Idaho Falls, ID 83404-6374 Ph: (208) 522-8945 | Cornelius Paul Brooke, MD 2001 S Woodruff Ave, Ste 12a, Idaho Falls, ID 83404-6374 Ph: (208) 522-8945 |
Dr. Lindsay D. Sewell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2085 Providence Way, Idaho Falls, ID 83404 Phone: 208-525-4888 Fax: 208-525-4885 | |
Brandon Lynn Miner, D.O Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2085 Providence Way, Idaho Falls, ID 83404 Phone: 208-525-4888 Fax: 208-525-4885 | |
Mark E Hinkson, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3425 Merlin Dr, Ste 200, Idaho Falls, ID 83404 Phone: 208-528-6653 Fax: 208-528-6676 |