Dr Nikolai Sopko, MD, PHD | |
775 Pole Line Rd W Ste 301, Twin Falls, ID 83301-5823 | |
(208) 814-8700 | |
(208) 933-4914 |
Full Name | Dr Nikolai Sopko |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 12 Years |
Location | 775 Pole Line Rd W Ste 301, 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 |
---|---|---|---|
1013283472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | M-15541 (Idaho) | Secondary |
208800000X | Urology | AJ414735 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Meritus Medical Center | Hagerstown, MD | Hospital |
Utah Valley Hospital | Provo, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Practices Of Antietam, Llc | 2567353865 | 184 |
St Lukes Clinic Llc | 1052217478 | 297 |
Intermountain Healthcare Services, Inc | 1850209420 | 3063 |
Entity Name | Northwest Hospital Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508961988 PECOS PAC ID: 6204739352 Enrollment ID: O20040128000328 |
Entity Name | Medical Practices Of Antietam, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019 |
Mailing Address | Practice Location Address |
---|---|
Dr Nikolai Sopko, MD, PHD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Nikolai Sopko, MD, PHD 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301-5823 Ph: (208) 814-8700 |
Joel Hancock, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2114 Village Park Ave, Twin Falls, ID 83301 Phone: 208-733-3404 Fax: 866-939-1381 | |
Steven B. Kurtz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 | |
Edward Justin Martinez, Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 | |
Andrew Mazzone, M.D. Urology Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 | |
Dr. Cory Scott Bates, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 301, Twin Falls, ID 83301 Phone: 208-814-8700 Fax: 208-933-4914 | |
Dr. Lars Erik Wallin Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 |