| Dr Robert Edward Rust Jr, MD | |
| 
					1301 N Division Ave, Sandpoint, ID 83864-8268  | |
| (208) 263-1345 | |
| (208) 255-5531 | 
| Full Name | Dr Robert Edward Rust Jr | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine - Addiction Medicine | 
| Location | 1301 N Division Ave, Sandpoint, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437214202 | NPI | - | NPPES | 
| 112500019 | Medicaid | ID | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | M3004 (Idaho) | Secondary | 
| 207QA0401X | Family Medicine - Addiction Medicine | M-3004 (Idaho) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Robert Edward Rust Jr, MD 1301 N Division Ave, Sandpoint, ID 83864-8268 Ph: (208) 290-3567  | Dr Robert Edward Rust Jr, MD 1301 N Division Ave, Sandpoint, ID 83864-8268 Ph: (208) 263-1345  | 
Daniel Jack Meulenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave Ste 101, Sandpoint, ID 83864 Phone: 208-263-1435 Fax: 208-263-7812  | |
Dr. Joseph Benjamin Cooper, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1218 N Division Ave Ste 208, Sandpoint, ID 83864 Phone: 208-263-3091 Fax: 208-263-3147  | |
Patricia Jane Hennessy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1205 Highway 2, Suite 301, Sandpoint, ID 83864 Phone: 208-265-9909 Fax: 208-265-5351  | |
Dr. Timothy Ray Bonine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 Ponderosa Dr, Suite 103, Sandpoint, ID 83864 Phone: 208-263-9545 Fax: 208-263-9539  | |
Amber M Clark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1218 N Division Ave Ste 208, Sandpoint, ID 83864 Phone: 208-263-3091  | |
Tracey Koch, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 N Second Ave, Suite 100, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214  | |
W Hugh Leedy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1327 Superior St, Sandpoint, ID 83864 Phone: 208-263-1718 Fax: 208-263-7198  |