| Dr Matthew E Williamson, DO | |
|
777 Hospital Way, Bldg B, Pocatello, ID 83201-5175 | |
| (208) 239-1000 | |
| Not Available |
| Full Name | Dr Matthew E Williamson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 777 Hospital Way, Pocatello, Idaho |
| 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 |
|---|---|---|---|
| 1467428540 | NPI | - | NPPES |
| 807225800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0102206546 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | O-334 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Christus Jasper Memorial Hospital | Jasper, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 37 |
| Cache Valley Vein | 5294069563 | 19 |
| Teton Radiology Madison Llc | 6901958024 | 33 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 51 |
| Tennessee Valley Radiology Llc | 9133105521 | 38 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 37 |
| Cache Valley Vein | 5294069563 | 19 |
| Teton Radiology Madison Llc | 6901958024 | 33 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 51 |
| Memorial Hospital Of Carbon County | 9638067176 | 31 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 37 |
| Cache Valley Vein | 5294069563 | 19 |
| Teton Radiology Madison Llc | 6901958024 | 33 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 51 |
| Shannon Clinic | 0840103727 | 465 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 37 |
| Inspire Radiology Group Llc | 2365975216 | 17 |
| Columbus Radiology Physicians Llc | 3971863416 | 60 |
| Cache Valley Vein | 5294069563 | 19 |
| Crawford Andrews And Davis Ptr | 6507814084 | 39 |
| Teton Radiology Madison Llc | 6901958024 | 33 |
| Intercity Radiology Pc | 9830003847 | 41 |
| Uintah Basin Medical Center Inc | 0244131944 | 56 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 37 |
| Inspire Radiology Group Llc | 2365975216 | 17 |
| Cache Valley Vein | 5294069563 | 19 |
| Teton Radiology Madison Llc | 6901958024 | 33 |
| Bay Area Hospital District | 2163331000 | 100 |
| Inspire Radiology Group Llc | 2365975216 | 17 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20040108000883 |
| Entity Name | Teton Radiology Diagnostic A Series Of Teton Group Enterprise |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013085604 PECOS PAC ID: 1254436959 Enrollment ID: O20070424000540 |
| Entity Name | Teton Radiology Madison Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407081060 PECOS PAC ID: 6901958024 Enrollment ID: O20090720000575 |
| Entity Name | Teton Vascular Institute Of Pocatello A Series Of Teton Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508224379 PECOS PAC ID: 8921306846 Enrollment ID: O20160409000003 |
| Entity Name | Radiology Consultants Of Lynchburg Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922037043 PECOS PAC ID: 8022077205 Enrollment ID: O20190711002814 |
| Entity Name | Columbus Radiology Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467964718 PECOS PAC ID: 3971863416 Enrollment ID: O20190819001670 |
| Entity Name | Cumberland Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437279262 PECOS PAC ID: 4284735051 Enrollment ID: O20200115000805 |
| Entity Name | Mountain Medical Physician Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20200319002100 |
| Entity Name | Tennessee Valley Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356367551 PECOS PAC ID: 9133105521 Enrollment ID: O20200414000153 |
| Entity Name | Innovative Medical Imaging Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962015776 PECOS PAC ID: 1951711050 Enrollment ID: O20201030001557 |
| Entity Name | Cache Valley Vein |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831662311 PECOS PAC ID: 5294069563 Enrollment ID: O20231106001459 |
| Entity Name | Teton Radiology Caldwell |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336920420 PECOS PAC ID: 2365892742 Enrollment ID: O20240320000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew E Williamson, DO 2265 E Sunnyside Rd, Idaho Falls, ID 83404-7598 Ph: (208) 542-5000 | Dr Matthew E Williamson, DO 777 Hospital Way, Bldg B, Pocatello, ID 83201-5175 Ph: (208) 239-1000 |
Ailee Marie Justo, Radiology Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726 | |
Michael Sparks, Radiology Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4276 | |
Artur Narkiewicz-jodko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Allen A. Eng, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1151 Hospital Way, Bldg B, Pocatello, ID 83201 Phone: 208-233-1187 Fax: 208-233-1187 | |
Dr. Lorin C Bachman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. John H Whiting Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 444 Hospital Way, Suite 701, Pocatello, ID 83201 Phone: 208-233-7931 Fax: 208-233-0423 | |
Dr. Michael T. Callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 S 11th Ave, Suite 101, Pocatello, ID 83201 Phone: 208-239-1750 Fax: 208-239-1771 |