| Dr Kelsi Jeanette Jore Swanson, MD | |
|
2819 Great Northern Loop Ste 200, Missoula, MT 59808-1750 | |
| (406) 542-7525 | |
| (406) 829-0661 |
| Full Name | Dr Kelsi Jeanette Jore Swanson |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 2819 Great Northern Loop Ste 200, Missoula, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164928271 | NPI | - | NPPES |
| 15957727 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD481377 (Pennsylvania) | Secondary |
| 208600000X | Surgery | 73654 (Montana) | Primary |
| Entity Name | Missoula Surgical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508808874 PECOS PAC ID: 7012820202 Enrollment ID: O20031112000700 |
| Entity Name | Rchp Billings - Missoula Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376946913 PECOS PAC ID: 8426370842 Enrollment ID: O20150312000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelsi Jeanette Jore Swanson, MD Po Box 7817, Missoula, MT 59807-7817 Ph: (406) 542-7525 | Dr Kelsi Jeanette Jore Swanson, MD 2819 Great Northern Loop Ste 200, Missoula, MT 59808-1750 Ph: (406) 542-7525 |
Charles J Swannack, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway, Missoula, MT 59802 Phone: 406-542-7525 Fax: 406-829-0661 | |
Dr. Vern Hicks Horton, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2827 Fort Missoula Rd, Community Medical Center, Missoula, MT 59804 Phone: 406-728-4100 Fax: 406-327-4502 | |
Vicente Jose Undurraga Perl, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St Fl 4, Missoula, MT 59802 Phone: 406-329-5828 Fax: 406-329-5864 | |
Jason Richard Hurd, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-329-5615 Fax: 406-329-2791 | |
Lori A Grimsley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-542-7525 Fax: 406-542-7592 | |
Anne Manktelow, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Road, Ste 306 Pediatric Surgery Of Montana, Missoula, MT 59804 Phone: 406-327-4730 |