| Dr Joel A Brake, MD | |
|
3205 S Russell St, Missoula, MT 59801-8536 | |
| (406) 549-2203 | |
| Not Available |
| Full Name | Dr Joel A Brake |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 3205 S Russell St, Missoula, Montana |
| 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 |
|---|---|---|---|
| 1043225469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 10779 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Patrick Hospital | Missoula, MT | Hospital |
| Community Medical Center | Missoula, MT | Hospital |
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Providence St Joseph Medical Center | Polson, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia County Hospital District | 5597653758 | 57 |
| The Polyclinic Pllc | 2163328196 | 375 |
| Inland Imaging Associates Ps | 7810327210 | 127 |
| Moses Lake Community Health Center | 1254235138 | 78 |
| Grant County Public Hospital District No. 3 | 6709775166 | 55 |
| Integra Imaging Ps | 1355593062 | 127 |
| Inland Imaging Llc | 6608763016 | 129 |
| Inland Imaging Associates Ps | 7810327210 | 127 |
| Advanced Imaging At Community Medical Center, Llc | 4486642568 | 7 |
| Inland Imaging Llc | 6608763016 | 129 |
| Integra Imaging Ps | 1355593062 | 127 |
| Entity Name | Moses Lake Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699862813 PECOS PAC ID: 1254235138 Enrollment ID: O20031121000667 |
| Entity Name | The Polyclinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
| Entity Name | Grant County Hospital District No. 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659445468 PECOS PAC ID: 8921919077 Enrollment ID: O20040116000955 |
| Entity Name | Okanogan Douglas County Hospital Dist 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205942257 PECOS PAC ID: 7810882792 Enrollment ID: O20040219000122 |
| Entity Name | Inland Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851352348 PECOS PAC ID: 6608763016 Enrollment ID: O20040301001171 |
| Entity Name | Columbia County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134128911 PECOS PAC ID: 5597653758 Enrollment ID: O20040309000515 |
| Entity Name | Okanogan Douglas County Hospital Dist 1 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356305395 PECOS PAC ID: 7810882792 Enrollment ID: O20080107000645 |
| Entity Name | Integra Imaging Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205189461 PECOS PAC ID: 1355593062 Enrollment ID: O20121204000044 |
| Entity Name | Inland Imaging Associates Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982236469 PECOS PAC ID: 7810327210 Enrollment ID: O20200427002479 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joel A Brake, MD 3205 S Russell St, Missoula, MT 59801-8536 Ph: (406) 549-2203 | Dr Joel A Brake, MD 3205 S Russell St, Missoula, MT 59801-8536 Ph: (406) 549-2203 |
Michelle Ann Proper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2827 Fort Missoula Rd, Missoula, MT 59804 Phone: 406-327-3911 Fax: 406-327-3836 | |
Jeffrey A Stephenson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-329-5655 Fax: 406-329-5675 | |
Dr. Mark William Elliott, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3205 S Russell St, Missoula, MT 59801 Phone: 406-721-4906 | |
Dr. Wayne L. Davis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-543-7271 | |
Dr. Thomas Andrew Layne, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 414 Rainier Ct, Missoula, MT 59803 Phone: 406-728-3617 | |
Paul Henry Eikens, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3205 S Russell St, Missoula, MT 59801 Phone: 406-721-4908 |