| Dr Brent H Greenwald, MD | |
|
3155 Channing Way, Suite B, Idaho Falls, ID 83404-7546 | |
| (208) 535-4800 | |
| (208) 535-4807 |
| Full Name | Dr Brent H Greenwald |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 36 Years |
| Location | 3155 Channing Way, Idaho Falls, 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 |
|---|---|---|---|
| 1134155666 | NPI | - | NPPES |
| 000010001551 | Other | ID | BLUE SHIELD |
| 002786100 | Medicaid | ID | |
| 82-0529781 | Other | ID | TAX ID NO |
| 76836 | Other | ID | BLUE CROSS |
| 8M987 | Other | ID | BLUE CROSS PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | M-6947 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health Of Eastern Idaho | Idaho falls, ID | Home health agency |
| Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greenwald Neurosurgical Pc | 3577615970 | 2 |
| Entity Name | Greenwald Neurosurgical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528127057 PECOS PAC ID: 3577615970 Enrollment ID: O20090715000809 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent H Greenwald, MD 3155 Channing Way, Suite B, Idaho Falls, ID 83404-7546 Ph: (208) 535-4800 | Dr Brent H Greenwald, MD 3155 Channing Way, Suite B, Idaho Falls, ID 83404-7546 Ph: (208) 535-4800 |
Abraham Schlauderaff, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3345 Potomac Way, Idaho Falls, ID 83404 Phone: 208-522-7572 | |
Dr. Brandon Reyes Kelly, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3345 Potomac Way, Idaho Falls, ID 83404 Phone: 208-552-6210 Fax: 208-552-2027 | |
Dr. John D Dickinson, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2353 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-4181 Fax: 208-542-4182 | |
James Lee Cook, PA-C Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1975 Martha Ave, Ste A, Idaho Falls, ID 83404 Phone: 208-522-6930 Fax: 208-523-5342 | |
Clark Hunter Allen, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3345 Potomac Way, Idaho Falls, ID 83404 Phone: 208-552-6210 Fax: 208-552-2027 | |
Dr. Robert Lee Cach, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2375 E Sunnyside Rd Ste G, Idaho Falls, ID 83404 Phone: 208-542-1050 Fax: 208-542-1150 |