| Dr Neal J Clinger, MD | |
|
3100 Channing Way, Idaho Falls, ID 83404-7533 | |
| (208) 227-2600 | |
| Not Available |
| Full Name | Dr Neal J Clinger |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3100 Channing Way, 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 |
|---|---|---|---|
| 1235109570 | NPI | - | NPPES |
| 807142800 | Medicaid | ID | |
| 8424624 | Medicaid | WA | |
| P00212187 | Other | RAILROAD MEDICARE | |
| 0198298 | Other | WA | LABOR & INDUSTRIES |
| 74229 | Other | ID | BLUE CROSS OF IDAHO |
| 11304701 | Other | ID | MEDICARE |
| 000010150561 | Other | ID | REGENCE BS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | M9301 (Idaho) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | M9301 (Idaho) | Secondary |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20100505001083 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Neal J Clinger, MD Po Box 2671, Idaho Falls, ID 83403-2671 Ph: (208) 523-4906 | Dr Neal J Clinger, MD 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 227-2600 |
Dr. Alan B Wray, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2600 | |
Dr. James W Taylor, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Dr. Michael Sean Enslow, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
James P Edlin, MD Radiology Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Dr. Roderick Jack Willmore, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Brett Scott Talbot, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 |