| David M Madden, MD | |
|
777 Hospital Way, Suite 215, Pocatello, ID 83201-5162 | |
| (208) 239-2580 | |
| Not Available |
| Full Name | David M Madden |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 777 Hospital Way, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518905413 | NPI | - | NPPES |
| 804254800 | Medicaid | ID | |
| M5021 | Other | ID LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | M5021 (Idaho) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Skagit Radiology Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932218757 PECOS PAC ID: 7113815218 Enrollment ID: O20040309001447 |
| Entity Name | Skagit Digital Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043328636 PECOS PAC ID: 4486543204 Enrollment ID: O20040311000384 |
| Entity Name | North Star Medical Imaging Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144489824 PECOS PAC ID: 7214005099 Enrollment ID: O20090630000392 |
| Entity Name | Fairbanks Medical Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528360625 PECOS PAC ID: 4082894407 Enrollment ID: O20110225000012 |
| Entity Name | Bellingham Advanced Medical Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730605965 PECOS PAC ID: 9739446824 Enrollment ID: O20171129002456 |
| Mailing Address | Practice Location Address |
|---|---|
| David M Madden, MD Po Box 4168, Pocatello, ID 83205-4168 Ph: (208) 239-2580 | David M Madden, MD 777 Hospital Way, Suite 215, Pocatello, ID 83201-5162 Ph: (208) 239-2580 |
Ailee Marie Justo, Radiology Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726 | |
Michael Sparks, Radiology Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4276 | |
Artur Narkiewicz-jodko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Allen A. Eng, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1151 Hospital Way, Bldg B, Pocatello, ID 83201 Phone: 208-233-1187 Fax: 208-233-1187 | |
Dr. Lorin C Bachman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. John H Whiting Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 444 Hospital Way, Suite 701, Pocatello, ID 83201 Phone: 208-233-7931 Fax: 208-233-0423 | |
Dr. Michael T. Callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 S 11th Ave, Suite 101, Pocatello, ID 83201 Phone: 208-239-1750 Fax: 208-239-1771 |