| Dr Michael Todd Burtis, MD | |
|
531 4th Ave, Lewiston, ID 83501-2450 | |
| (208) 743-4393 | |
| Not Available |
| Full Name | Dr Michael Todd Burtis |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 531 4th Ave, Lewiston, 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 |
|---|---|---|---|
| 1396765335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD 13873 (Hawaii) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | M13009 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Syringa General Hospital | Grangeville, ID | Hospital |
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Radiology, Pllc | 1254390354 | 7 |
| Vannvei Llc | 1254743420 | 17 |
| Tri-state Memorial Hospital | 4082502422 | 26 |
| Tri-state Memorial Hospital | 4082502422 | 26 |
| Entity Name | Tri-state Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040911000031 |
| Entity Name | Phoenix Radiology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164493334 PECOS PAC ID: 1254390354 Enrollment ID: O20041006001199 |
| Entity Name | Vannvei Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881200517 PECOS PAC ID: 1254743420 Enrollment ID: O20201211000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Todd Burtis, MD 531 4th Ave, Lewiston, ID 83501-2450 Ph: (208) 743-4393 | Dr Michael Todd Burtis, MD 531 4th Ave, Lewiston, ID 83501-2450 Ph: (208) 743-4393 |
Dr. John W. Ho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Dr. Khadijeh S. Zarkoob, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 504 6th St, Lewiston, ID 83501 Phone: 208-799-5600 | |
Dr. Mark W Peterson, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5335 | |
Norman Robert Willis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 504 6th St, Lewiston, ID 83501 Phone: 208-799-5600 Fax: 208-799-5755 | |
Dr. Gregory Robert Spurling, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 531 4th Ave, Lewiston, ID 83501 Phone: 208-743-4393 | |
Dr. Michael E Bell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5335 |