| Dr Richard Willis Runyan, MD | |
|
150 Vista Dr, Pocatello, ID 83201-5824 | |
| (208) 232-7246 | |
| Not Available |
| Full Name | Dr Richard Willis Runyan |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 12 Years |
| Location | 150 Vista Dr, Pocatello, 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 |
|---|---|---|---|
| 1336482645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 9169428-8905 (Utah) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | M-14202 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Marcus Daly Memorial Hospital - Cah | Hamilton, MT | Hospital |
| Steele Memorial Medical Center | Salmon, ID | Hospital |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Steele Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851403265 PECOS PAC ID: 9436131265 Enrollment ID: O20040604000056 |
| Entity Name | North Canyon Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
| Entity Name | Pain & Spine Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902366834 PECOS PAC ID: 5395072946 Enrollment ID: O20190806001323 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Willis Runyan, MD 3385 Potomac Way, Idaho Falls, ID 83404-4978 Ph: () - | Dr Richard Willis Runyan, MD 150 Vista Dr, Pocatello, ID 83201-5824 Ph: (208) 232-7246 |
Roger A Cook, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Daniel Dalley Snell, M.D, M.P.H. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 | |
Ryan R Shelton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. John Benjamin Traul, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave Ste A, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 | |
Juan Jose Leon, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Portneuf Heart And Vascular, Pocatello, ID 83201 Phone: 208-239-2500 | |
Dr. Steven Larry Follett, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1749 Walkabout Dr, Pocatello, ID 83204 Phone: 208-241-4204 Fax: 208-234-1162 |