| Dr Gordon Scott Bontrager, MD | |
|
43 N 1st E, Preston, ID 83263-1325 | |
| (208) 648-4771 | |
| (208) 744-0140 |
| Full Name | Dr Gordon Scott Bontrager |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 43 N 1st E, Preston, 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 |
|---|---|---|---|
| 1780919829 | NPI | - | NPPES |
| P01478459 | Other | TN | RAIDROAD MEDICARE |
| 15285357 | Medicaid | TN | |
| MRM-1734 | Other | ID | IDAHO BOARD OF MEDICINE - RESIDENCY |
| 1780919829 | Medicaid | VA | |
| PA-2119 | Other | ID | IDAHO BOARD OF MEDICINE - PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MRM-1734 (Idaho) | Primary |
| 363A00000X | Physician Assistant | 2119 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Access Hospice Care | Chubbuck, ID | Hospice |
| Franklin County Medical Center | Preston, ID | Hospital |
| Entity Name | Franklin County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548355811 PECOS PAC ID: 8820909104 Enrollment ID: O20070917000547 |
| Entity Name | Preston Drug Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275245615 PECOS PAC ID: 7719359660 Enrollment ID: O20230202002068 |
| Entity Name | Preston Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891406112 PECOS PAC ID: 6507239845 Enrollment ID: O20230307001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gordon Scott Bontrager, MD 43 N 1st E, Preston, ID 83263-1325 Ph: (208) 648-4771 | Dr Gordon Scott Bontrager, MD 43 N 1st E, Preston, ID 83263-1325 Ph: (208) 648-4771 |
Daniel Yugi Patten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 47 N. 1st E., Preston, ID 83263 Phone: 208-852-2900 Fax: 208-852-3511 | |
Raven Ebanez, APRN-CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 44 N 1st E, Preston, ID 83263 Phone: 208-852-2900 Fax: 208-852-3511 | |
Dr. Rex Emerson Wortham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 S 1st W, Preston, ID 83263 Phone: 208-852-0852 Fax: 208-852-0568 | |
Dr. Stuart G Knapp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 47 N 1st E, Preston, ID 83263 Phone: 208-852-2900 Fax: 208-852-3511 | |
Dr. David Bradley Beckstead, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 North 1 East, Preston, ID 83263 Phone: 208-852-3851 Fax: 208-852-3856 |