| Dr Nathan Ross Kelsey, MD | |
|
801 Pole Line Rd W, Twin Falls, ID 83301-5810 | |
| (208) 814-1500 | |
| Not Available |
| Full Name | Dr Nathan Ross Kelsey |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 801 Pole Line Rd W, Twin Falls, 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 |
|---|---|---|---|
| 1184943789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101250278 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | M-14787 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| St Luke's Jerome | Jerome, ID | Hospital |
| St Luke's Mccall | Mccall, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| North Canyon Medical Center | Gooding, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic Llc | 1052217478 | 294 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathan Ross Kelsey, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Nathan Ross Kelsey, MD 801 Pole Line Rd W, Twin Falls, ID 83301-5810 Ph: (208) 814-1500 |
Peter Hinckley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Michael E Holzer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 260 Falls Ave, Twin Falls, ID 83301 Phone: 208-737-2192 | |
Dr. Daniel Constantine Alder, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 650 Addison Ave W, Radiology Department, Twin Falls, ID 83301 Phone: 208-737-2192 | |
Molly E Watkins, RDMS (OB) Radiology Medicare: Not Enrolled in Medicare Practice Location: 2073 Maple Ave, Twin Falls, ID 83301 Phone: 208-731-4168 | |
Evan D Thomas, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 260 Falls Ave, Twin Falls, ID 83301 Phone: 208-737-2192 | |
Dr. Joshua E Hall, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 650 Addison Ave W, Twin Falls, ID 83301 Phone: 208-737-2192 |