| Dan S Fairman, MD | |
|
100 Hospital Drive, Ketchum, ID 83340 | |
| (208) 727-8888 | |
| Not Available |
| Full Name | Dan S Fairman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 43 Years |
| Location | 100 Hospital Drive, 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 |
|---|---|---|---|
| 1023059250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M4921 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Home Care | Meridian, ID | Home health agency |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 58 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Dan S Fairman, MD Po Box 100, Ketchum, ID 83340-0100 Ph: (208) 727-8888 | Dan S Fairman, MD 100 Hospital Drive, Ketchum, ID 83340 Ph: (208) 727-8888 |
Peter Curran, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Suite 105, Ketchum, ID 83340 Phone: 208-726-0124 | |
Dr. Kimberly A Vorse, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 380 Washington Ave, Suite 201, Ketchum, ID 83340 Phone: 208-726-0000 | |
David Laxson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8710 | |
Royal Mcclure, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Ste 201, Ketchum, ID 83340 Phone: 208-727-8888 | |
Dr. Hadi Bhurgri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8888 Fax: 208-727-8889 | |
Dr. Robert Winston Hall, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 West First St., Suite 214, Ketchum, ID 83340 Phone: 208-726-5996 |