| Dr Mark Lee Capener, MD | |
|
2065 E 17th St, Suite B-2, Idaho Falls, ID 83404-8042 | |
| (208) 524-7244 | |
| (208) 524-1088 |
| Full Name | Dr Mark Lee Capener |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 2065 E 17th St, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750489100 | NPI | - | NPPES |
| 805970200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 8394 (Idaho) | Primary |
| Entity Name | Alpine Ear, Nose & Throat, P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306944772 PECOS PAC ID: 0345337804 Enrollment ID: O20071030000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Lee Capener, MD 2065 E 17th St, Suite B-2, Idaho Falls, ID 83404-8042 Ph: (208) 524-7244 | Dr Mark Lee Capener, MD 2065 E 17th St, Suite B-2, Idaho Falls, ID 83404-8042 Ph: (208) 524-7244 |
Kevin Matthew Hanks, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1582 Elk Creek Drive, Idaho Falls, ID 83404 Phone: 208-542-5414 Fax: 208-552-2708 | |
Kent W. Davis, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3869 Canterbury Way, Idaho Falls, ID 83404 Phone: 208-523-1652 | |
Dr. Terry Baker, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way, A-105, Idaho Falls, ID 83404 Phone: 208-552-9530 Fax: 208-522-6262 | |
Austin Baker, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste A105, Idaho Falls, ID 83404 Phone: 208-552-9530 | |
Dr. Richard Garrett Lee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3446 S 15th E, Idaho Falls, ID 83404 Phone: 208-522-6335 Fax: 208-522-0550 | |
Scott Ryan Hall, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2305 Coronado St, Idaho Falls, ID 83404 Phone: 208-522-1764 Fax: 208-522-1766 |