| Dr Mark Andrew Hiesterman, DO | |
|
221 5th Ave S, Glasgow, MT 59230-2600 | |
| (406) 228-3536 | |
| Not Available |
| Full Name | Dr Mark Andrew Hiesterman |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 21 Years |
| Location | 221 5th Ave S, Glasgow, 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 |
|---|---|---|---|
| 1699980367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OP60226290 (Washington) | Secondary |
| 208600000X | Surgery | 131349 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Frances Mahon Deaconess Hospital | Glasgow, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pro Health One Inc | 2466778089 | 28 |
| Pro Health One Inc | 2466778089 | 28 |
| Frances Mahon Deaconess Hospital | 3173430949 | 37 |
| Frances Mahon Deaconess Hospital | 3173430949 | 37 |
| Entity Name | Frances Mahon Deaconess Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639117013 PECOS PAC ID: 3173430949 Enrollment ID: O20031111000918 |
| Entity Name | Frances Mahon Deaconess Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1689685323 PECOS PAC ID: 3173430949 Enrollment ID: O20061104000687 |
| Entity Name | Pro Health One Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053714584 PECOS PAC ID: 2466778089 Enrollment ID: O20220222000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Andrew Hiesterman, DO 16201 E Indiana Ave, Suite 3100, Spokane Valley, WA 99216-2830 Ph: (509) 891-8904 | Dr Mark Andrew Hiesterman, DO 221 5th Ave S, Glasgow, MT 59230-2600 Ph: (406) 228-3536 |
Anne M Williams, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 221 5th Ave S, Glasgow, MT 59230 Phone: 406-228-3653 | |
Anthony M Colacino, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 221 5th Ave S, Glasgow, MT 59230 Phone: 406-228-3536 Fax: 406-228-3537 |