| Deron Ludwig, MD | |
|
500 W Broadway St Fl 5, Missoula, MT 59802-4008 | |
| (406) 329-5866 | |
| (406) 329-5864 |
| Full Name | Deron Ludwig |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 31 Years |
| Location | 500 W Broadway St Fl 5, Missoula, Montana |
| 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 |
|---|---|---|---|
| 1245310200 | NPI | - | NPPES |
| 00C520970 | Other | CA | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | C52097 (California) | Secondary |
| 208600000X | Surgery | MED-PHYS-LIC-124231 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Patrick Hospital | Missoula, MT | Hospital |
| St Peters Hospital | Helena, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Mt | 6608786306 | 293 |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Deron Ludwig, MD Po Box 12, Liberty Lake, WA 99019-0012 Ph: (866) 747-2455 | Deron Ludwig, MD 500 W Broadway St Fl 5, Missoula, MT 59802-4008 Ph: (406) 329-5866 |
Charles J Swannack, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway, Missoula, MT 59802 Phone: 406-542-7525 Fax: 406-829-0661 | |
Dr. Vern Hicks Horton, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2827 Fort Missoula Rd, Community Medical Center, Missoula, MT 59804 Phone: 406-728-4100 Fax: 406-327-4502 | |
Vicente Jose Undurraga Perl, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St Fl 4, Missoula, MT 59802 Phone: 406-329-5828 Fax: 406-329-5864 | |
Jason Richard Hurd, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-329-5615 Fax: 406-329-2791 | |
Lori A Grimsley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-542-7525 Fax: 406-542-7592 | |
Anne Manktelow, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Road, Ste 306 Pediatric Surgery Of Montana, Missoula, MT 59804 Phone: 406-327-4730 | |
Dr. Kelsi Jeanette Jore Swanson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2819 Great Northern Loop Ste 200, Missoula, MT 59808 Phone: 406-542-7525 Fax: 406-829-0661 |