| Dr Dean Allan Nelson, DO | |
|
267 N Canyon Dr, Gooding, ID 83330-5500 | |
| (208) 934-4446 | |
| (208) 934-4442 |
| Full Name | Dr Dean Allan Nelson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 267 N Canyon Dr, Gooding, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285749101 | NPI | - | NPPES |
| 000096575 | Other | MT | BLUE CROSS BS |
| 807560000 | Medicaid | ID | |
| 0069207 | Medicaid | MT |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Steele Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851403265 PECOS PAC ID: 9436131265 Enrollment ID: O20040604000056 |
| Entity Name | North Canyon Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20080610000835 |
| Entity Name | North Canyon Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dean Allan Nelson, DO 267 N Canyon Dr, Gooding, ID 83330-5500 Ph: (208) 934-4446 | Dr Dean Allan Nelson, DO 267 N Canyon Dr, Gooding, ID 83330-5500 Ph: (208) 934-4446 |
Reid Wayne Lofgran, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4433 Fax: 208-934-4442 | |
Jennifer Marie Olsen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
Mr. Greg C Boettcher, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
Fred P Miller, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 425 Idaho Street, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 | |
Florian John Gies, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 | |
Cooper John Field, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4446 | |
Dr. Thomas Ernest Pryor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 5th Ave West, Gooding, ID 83330 Phone: 208-934-4800 Fax: 208-934-9611 |