| Dr Alyson Anne Thede, MD | |
|
815 N 5th Ave Unit 202, Bozeman, MT 59715-2884 | |
| (406) 545-2555 | |
| (406) 545-2554 |
| Full Name | Dr Alyson Anne Thede |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 815 N 5th Ave Unit 202, Bozeman, Montana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003344862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 12229855-1205 (Utah) | Secondary |
| 207N00000X | Dermatology | 12229855-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bozeman Health Deaconess Hospital | Bozeman, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epiphany Dermatology Of Montana, Pllc | 9537593710 | 11 |
| Entity Name | Epiphany Dermatology Of Montana, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902455074 PECOS PAC ID: 9537593710 Enrollment ID: O20191220001305 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alyson Anne Thede, MD 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 Ph: (512) 628-0465 | Dr Alyson Anne Thede, MD 815 N 5th Ave Unit 202, Bozeman, MT 59715-2884 Ph: (406) 545-2555 |
Teresa P Mann, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2233 W Kagy Blvd Ste 2, Bozeman, MT 59718 Phone: 406-586-7873 Fax: 406-586-2332 | |
Phoebe Koch, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1905 W College St, Bozeman, MT 59718 Phone: 406-587-4432 Fax: 406-587-7015 | |
Dr. Jeffrey M Williams, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 815 N 5th Ave Unit 202, Bozeman, MT 59715 Phone: 406-545-2555 | |
Shannon Setzer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4515 Valley Commons Dr Ste 202, Bozeman, MT 59718 Phone: 406-587-7546 Fax: 406-585-5672 | |
Ashlee Lauren Culver, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2233 W Kagy Blvd Ste 2, Bozeman, MT 59718 Phone: 406-586-7873 Fax: 406-586-2332 | |
Suzanne B Schoelch, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1727 W College St, Bozeman, MT 59715 Phone: 406-587-4432 Fax: 406-587-7015 |