| Dr David R Donaldson, MD | |
|
333 N 18th Ave, St#b-3, Pocatello, ID 83201-3358 | |
| (208) 232-2146 | |
| (208) 232-2770 |
| Full Name | Dr David R Donaldson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 31 Years |
| Location | 333 N 18th Ave, Pocatello, 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 |
|---|---|---|---|
| 1114914512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | TL3633 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mv Pocatello Ent, Llc | 2567706096 | 2 |
| Entity Name | Mvh Bmc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649699174 PECOS PAC ID: 2961791991 Enrollment ID: O20160608002399 |
| Entity Name | Mv Pocatello Ent, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154801595 PECOS PAC ID: 2567706096 Enrollment ID: O20181210002621 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David R Donaldson, MD 333 N 18th Ave, St#b-3, Pocatello, ID 83201-3358 Ph: (208) 232-2146 | Dr David R Donaldson, MD 333 N 18th Ave, St#b-3, Pocatello, ID 83201-3358 Ph: (208) 232-2146 |
John H Thomas, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 755 Hospital Way, Suite B-3, Pocatello, ID 83201 Phone: 208-232-2146 Fax: 208-232-2770 | |
Dr. Kraig C Mcgee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave, # B-3, Pocatello, ID 83201 Phone: 208-232-2146 Fax: 208-232-2770 |