| Dr Dane J Dickson, MD | |
|
380 Walker Drive, Rexburg, ID 83440 | |
| (208) 356-9559 | |
| (208) 356-6601 |
| Full Name | Dr Dane J Dickson |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 30 Years |
| Location | 380 Walker Drive, Rexburg, 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 |
|---|---|---|---|
| 1669497194 | NPI | - | NPPES |
| 000010032448 | Other | ID | BLUE SHIELD |
| 8J950 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | M8118 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dane J Dickson, MD 380 Walker Dr, Rexburg, ID 83440-1657 Ph: (208) 356-9559 | Dr Dane J Dickson, MD 380 Walker Drive, Rexburg, ID 83440 Ph: (208) 356-9559 |
Dr. Steven Hansen Lofgran, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-8444 | |
Mr. Craig D Heiner, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 240 East Main, Rexburg, ID 83440 Phone: 208-356-8808 Fax: 208-356-8810 | |
Dr. Hans Thurgood Redd, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 100 Shc, Rexburg, ID 83460 Phone: 208-496-1300 Fax: 208-496-1306 | |
Rodney Bates Jr., DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 36 Professional Plz, Rexburg, ID 83440 Phone: 208-359-9411 Fax: 208-656-8444 | |
Jack O. Clark, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6419 Fax: 208-356-3111 |