| Dr Edward Gregory Moellmer, MD | |
|
6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | |
| (208) 267-3141 | |
| (208) 267-2202 |
| Full Name | Dr Edward Gregory Moellmer |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 6640 Kaniksu St, Bonners Ferry, 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 |
|---|---|---|---|
| 1942566195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14045 (North Dakota) | Secondary |
| 207Q00000X | Family Medicine | 99946 (Montana) | Secondary |
| 207Q00000X | Family Medicine | M-13338 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fallon Medical Complex Hospital | Baker, MT | Hospital |
| Boundary Community Hospital | Bonners ferry, ID | Hospital |
| Southwest Healthcare Services | Bowman, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fallon Medical Complex Inc | 0941119499 | 7 |
| Entity Name | Fallon Medical Complex Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386700763 PECOS PAC ID: 0941119499 Enrollment ID: O20040614000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Gregory Moellmer, MD 802 2nd St Nw, Bowman, ND 58623-4483 Ph: (701) 523-5555 | Dr Edward Gregory Moellmer, MD 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141 |
Dr. Jennifer F Garwick, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Gregory T Botkin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 | |
Chuck Lee Newhouse, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6641 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3655 | |
Dr. Troy W Geyman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6488 Chinook St, Bonners Ferry, ID 83805 Phone: 208-267-8710 | |
Dr. John Friesen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Dr. Susan J Layeux, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805 Phone: 208-267-3655 Fax: 208-267-3757 | |
Dr. Ligeia A Reinhardt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 |