| Dr Jonathan B Pine, DO | |
|
305 W Pennsylvania Ave, Anaconda, MT 59711 | |
| (406) 563-8571 | |
| (406) 563-8523 |
| Full Name | Dr Jonathan B Pine |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 305 W Pennsylvania Ave, Anaconda, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013999598 | NPI | - | NPPES |
| 1013999598 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 25MB05029700 (New Jersey) | Primary |
| Entity Name | Community Hospital Of Anaconda |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205887924 PECOS PAC ID: 8123938974 Enrollment ID: O20030507000045 |
| Entity Name | Community Hospital Of Anaconda |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538597703 PECOS PAC ID: 8123938974 Enrollment ID: O20031119000745 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan B Pine, DO 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 Ph: (406) 563-8500 | Dr Jonathan B Pine, DO 305 W Pennsylvania Ave, Anaconda, MT 59711 Ph: (406) 563-8571 |
Bertrand Francis Jones, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 305 W Pennsylvania Ave, Anaconda, MT 59711 Phone: 406-563-8500 Fax: 406-563-8575 | |
Carl Keeway Schillhammer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 W Pennsylvania Ave, Anaconda, MT 59711 Phone: 406-563-8571 Fax: 406-563-8523 | |
Dr. Peter Paul Wendt, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 305 W Pennsylvania Ave, Anaconda, MT 59711 Phone: 406-563-8571 Fax: 406-563-8523 |