| Clayton James Bunt, MD | |
|
301 Cedar St, Clearwater Valley Hospital & Clinics, Orofino, ID 83544-9029 | |
| (208) 476-4555 | |
| Not Available |
| Full Name | Clayton James Bunt |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 301 Cedar St, Orofino, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578646345 | NPI | - | NPPES |
| 807606600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-9739 (Idaho) | Primary |
| 207Q00000X | Family Medicine | A4684 (Wyoming) | Secondary |
| 207Q00000X | Family Medicine | 5069 (Montana) | Secondary |
| Entity Name | Clearwater Valley Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
| Entity Name | Clearwater Valley Hospital & Clinics Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255449013 PECOS PAC ID: 0547173346 Enrollment ID: O20061104000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton James Bunt, MD 21634 Angel Point Ln, Peck, ID 83545-8045 Ph: (208) 486-6063 | Clayton James Bunt, MD 301 Cedar St, Clearwater Valley Hospital & Clinics, Orofino, ID 83544-9029 Ph: (208) 476-4555 |
Brett T Mumford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-5777 Fax: 208-476-5385 | |
Phillip H Petersen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
Vanessa Kimberly Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
John Edward Riley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Hospital Dr, Orofino, ID 83544 Phone: 208-476-4511 Fax: 208-476-7898 | |
Kelly Mcgrath, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
Peter W Crecelius, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 |