| Dr Stephen G Vincent, MD | |
|
2353 Coronado St, Idaho Falls, ID 83404 | |
| (208) 552-4823 | |
| (208) 552-4856 |
| Full Name | Dr Stephen G Vincent |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 37 Years |
| Location | 2353 Coronado St, 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 |
|---|---|---|---|
| 1932221306 | NPI | - | NPPES |
| 002724000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | M6269 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Idaho Falls Community Hospital, Llc | Idaho falls, 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen G Vincent, MD 2353 Coronado St, Idaho Falls, ID 83404 Ph: (208) 552-4823 | Dr Stephen G Vincent, MD 2353 Coronado St, Idaho Falls, ID 83404 Ph: (208) 552-4823 |
Muad Khallad, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-970-4091 | |
Bradford L Talcott, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2353 Coronado St, Idaho Falls, ID 83404 Phone: 208-552-4823 | |
Dr. Ronald M. Zohner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1842 1st St, Idaho Falls, ID 83401 Phone: 208-552-5707 Fax: 208-552-5709 | |
Dr. Debra S Gorin, MD PC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1361 Cambridge Dr, Idaho Falls, ID 83401 Phone: 208-535-8549 Fax: 208-528-8109 | |
Ms. Susan Lynn Bunnell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2280 E 25th Street, Idaho Falls, ID 83404 Phone: 208-227-2295 Fax: 208-227-2364 | |
Kwadwo Antwi Saka, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404 Phone: 208-419-3002 | |
David Kelly Brown, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-973-2144 |