| Dr Richard Garrett Lee, MD | |
|
3446 S 15th E, Idaho Falls, ID 83404-8262 | |
| (208) 522-6335 | |
| (208) 522-0550 |
| Full Name | Dr Richard Garrett Lee |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 22 Years |
| Location | 3446 S 15th E, Idaho 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 |
|---|---|---|---|
| 1770796583 | NPI | - | NPPES |
| 1770796583 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | M-10574 (Idaho) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | M-10574 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Idaho Ear Nose Throat-facial Plastic Surgery Pa | 3971763897 | 2 |
| Entity Name | East Idaho Ear Nose Throat-facial Plastic Surgery Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275808750 PECOS PAC ID: 3971763897 Enrollment ID: O20120329000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Garrett Lee, MD 3446 S 15th E, Idaho Falls, ID 83404-8262 Ph: (208) 522-6335 | Dr Richard Garrett Lee, MD 3446 S 15th E, Idaho Falls, ID 83404-8262 Ph: (208) 522-6335 |
Kevin Matthew Hanks, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1582 Elk Creek Drive, Idaho Falls, ID 83404 Phone: 208-542-5414 Fax: 208-552-2708 | |
Kent W. Davis, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3869 Canterbury Way, Idaho Falls, ID 83404 Phone: 208-523-1652 | |
Dr. Terry Baker, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way, A-105, Idaho Falls, ID 83404 Phone: 208-552-9530 Fax: 208-522-6262 | |
Austin Baker, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste A105, Idaho Falls, ID 83404 Phone: 208-552-9530 | |
Dr. Mark Lee Capener, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2065 E 17th St, Suite B-2, Idaho Falls, ID 83404 Phone: 208-524-7244 Fax: 208-524-1088 | |
Scott Ryan Hall, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2305 Coronado St, Idaho Falls, ID 83404 Phone: 208-522-1764 Fax: 208-522-1766 |