| Dr Gary Michael Ullery, DO | |
|
98 Poplar St Fl 2, Blackfoot, ID 83221-1758 | |
| (208) 782-2380 | |
| (208) 785-3504 |
| Full Name | Dr Gary Michael Ullery |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 98 Poplar St Fl 2, Blackfoot, 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 |
|---|---|---|---|
| 1164785382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | O-0906 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | O-0906 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bmh Inc | 8426149758 | 124 |
| Bingham Memorial Hospital | 8426955014 | 67 |
| Entity Name | Bmh Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Michael Ullery, DO 98 Poplar St Fl 2, Blackfoot, ID 83221-1758 Ph: (208) 782-2380 | Dr Gary Michael Ullery, DO 98 Poplar St Fl 2, Blackfoot, ID 83221-1758 Ph: (208) 782-2380 |
Mr. Mark Lupton, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-1200 | |
Mr. Lance Ronald Wehrle, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3838 Fax: 208-782-3994 | |
Dr. Francis T Johansen, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Mr. Angelo Michael Capricchione, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3865 Fax: 208-785-3504 | |
Heather Rochelle Curtis, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Anita Kadikar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 |