| Dr Pamela Sue Williams, DO | |
|
98 Poplar St, Blackfoot, ID 83221-1758 | |
| (208) 785-4100 | |
| Not Available |
| Full Name | Dr Pamela Sue Williams |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 98 Poplar St, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750598256 | NPI | - | NPPES |
| 807841700 | Medicaid | ID | |
| 000010167601 | Other | ID | RBS LAMERE |
| 323925 | Other | ID | ALTIUS |
| S6241 | Other | ID | BCS LAMERE |
| 000010163103 | Other | ID | REGENCE BLUE SHIELD |
| S6167 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | O-0454 (Idaho) | Primary |
| Entity Name | Anchorage Women's Clinic At Providence Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265496061 PECOS PAC ID: 9032102124 Enrollment ID: O20040405001651 |
| Entity Name | Alaska Womens Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083890180 PECOS PAC ID: 7012090210 Enrollment ID: O20080212000034 |
| Entity Name | Obhg Alaska Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740697069 PECOS PAC ID: 7113233834 Enrollment ID: O20150826000621 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pamela Sue Williams, DO 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-4100 | Dr Pamela Sue Williams, DO 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-4100 |
Heather D Pugmire, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Dr. Steven Larson, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 326 Poplar St, Blackfoot, ID 83221 Phone: 208-785-5801 Fax: 208-785-3504 |