| 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 | 29 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 |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Christus Jasper Memorial Hospital | Jasper, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 66 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 43 |
| Teton Radiology Caldwell | 2365892742 | 16 |
| Cache Valley Vein | 5294069563 | 36 |
| Teton Radiology Madison Llc | 6901958024 | 40 |
| Cache Valley Vein | 5294069563 | 36 |
| Shannon Clinic | 0840103727 | 550 |
| Eastern Radiological Associates Pc | 0345232732 | 50 |
| Shannon Clinic | 0840103727 | 550 |
| Memorial Hospital Of Converse County | 2264340843 | 77 |
| Abercrombie Radiological Consultants Inc | 3072411834 | 51 |
| Tennessee Valley Radiology Llc | 9133105521 | 42 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 43 |
| Crawford Andrews And Davis Ptr | 6507814084 | 47 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 43 |
| Cache Valley Vein | 5294069563 | 36 |
| Teton Radiology Madison Llc | 6901958024 | 40 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 66 |
| Uintah Basin Medical Center | 0244131944 | 62 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 66 |
| Teton Radiology Madison Llc | 6901958024 | 40 |
| Teton Radiology Caldwell | 2365892742 | 16 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 43 |
| Teton Radiology Caldwell | 2365892742 | 16 |
| Cache Valley Vein | 5294069563 | 36 |
| Teton Radiology Madison Llc | 6901958024 | 40 |
| Eastern Radiological Associates Pc | 0345232732 | 50 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 43 |
| Memorial Hospital Of Converse County | 2264340843 | 77 |
| Teton Radiology Caldwell | 2365892742 | 16 |
| Columbus Radiology Physicians Llc | 3971863416 | 56 |
| Cache Valley Vein | 5294069563 | 36 |
| Cmsc Llc | 5890602494 | 92 |
| Teton Radiology Madison Llc | 6901958024 | 40 |
| South Florida Medical Imaging Pa | 7618869900 | 40 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 66 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 66 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | Castro County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891828059 PECOS PAC ID: 3870404064 Enrollment ID: O20040309001224 |
| Entity Name | Preferred Hospital Leasing Coleman Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275938714 PECOS PAC ID: 4789574724 Enrollment ID: O20040319000688 |
| Entity Name | Crawford Andrews & Davis Ptr |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952325573 PECOS PAC ID: 6507814084 Enrollment ID: O20050111000836 |
| Entity Name | Preferred Hospital Leasing Van Horn Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073579942 PECOS PAC ID: 1456381540 Enrollment ID: O20051026000398 |
| Entity Name | Dawson County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134108053 PECOS PAC ID: 6800832155 Enrollment ID: O20070113000043 |
| Entity Name | Preferred Hospital Leasing Hemphill, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811256696 PECOS PAC ID: 1759467111 Enrollment ID: O20090106000543 |
| Entity Name | Preferred Hospital Leasing Junction, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578729653 PECOS PAC ID: 4981762051 Enrollment ID: O20091113000439 |
| Entity Name | Memorial Hospital of Converse County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20100607000600 |
| Entity Name | Direct Radiology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144572173 PECOS PAC ID: 9436396165 Enrollment ID: O20130612000152 |
| Entity Name | South Florida Medical Imaging PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518945575 PECOS PAC ID: 7618869900 Enrollment ID: O20180103001177 |
| 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: O20190501002882 |
| 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: O20190807000994 |
| Entity Name | Centra Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20231006001477 |
| Entity Name | Eastern Radiological Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639102171 PECOS PAC ID: 0345232732 Enrollment ID: O20240304000711 |
| Entity Name | Cmsc LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20240305004622 |
| 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: O20240506003406 |
| 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: O20240724002674 |
| 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: O20240726000770 |
| Entity Name | Inspire Radiology Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487485181 PECOS PAC ID: 2365975216 Enrollment ID: O20241209000999 |
| Entity Name | Inspire Radiology Group 2 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396570644 PECOS PAC ID: 1355870460 Enrollment ID: O20250217003043 |
| Entity Name | Cache Valley Vein |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831662311 PECOS PAC ID: 5294069563 Enrollment ID: O20250527001150 |
| Entity Name | Teton Radiology Caldwell |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336920420 PECOS PAC ID: 2365892742 Enrollment ID: O20250609000856 |
| 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 |
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 |
Jade Forbush, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 1334 N Main St, Pocatello, ID 83204 Phone: 208-539-7399 Fax: 208-417-0882 |
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 |
Mr. Nicholas S Pierson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 |
Dr. David M Cameron, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Bldg B, Pocatello, ID 83201 Phone: 208-239-1000 |