| Dr Brad L Wynn, DO | |
|
1308 8th St Ste 1, Rupert, ID 83350-1535 | |
| (208) 436-4322 | |
| (208) 436-1312 |
| Full Name | Dr Brad L Wynn |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 1308 8th St Ste 1, Rupert, 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 |
|---|---|---|---|
| 1902033608 | NPI | - | NPPES |
| 1902033608 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-0676 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Horizon Home Health East | Twin falls, ID | Home health agency |
| Minidoka Memorial Hospital | Rupert, ID | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minidoka Memorial Hospital | 7315908894 | 30 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134333495 PECOS PAC ID: 7315908894 Enrollment ID: O20041019001205 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brad L Wynn, DO 1224 8th Street, Rupert, ID 83350-1527 Ph: (208) 434-4236 | Dr Brad L Wynn, DO 1308 8th St Ste 1, Rupert, ID 83350-1535 Ph: (208) 436-4322 |
Aleksandr Doroshkin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St Ste 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 | |
Mark Dahle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St Ste 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 | |
Dr. Donald J Konrad, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 8th St, Rupert, ID 83350 Phone: 208-436-5266 Fax: 208-434-8675 | |
Mr. Jeffrey Scott Swenson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St Ste 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 | |
Dr. Brian R Muir, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St Ste 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 | |
Dr. Dawn Ariel Jennings, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 402 6th St, Rupert, ID 83350 Phone: 208-650-7941 | |
Janet King, RN NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1024 8th St, Rupert, ID 83350 Phone: 208-436-0734 Fax: 208-436-0735 |