| Dr Terry R Reisner, MD | |
|
427 N 12th, Plummer, ID 83851-0388 | |
| (208) 686-1931 | |
| Not Available |
| Full Name | Dr Terry R Reisner |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 427 N 12th, Plummer, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295720779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 43629 (Wisconsin) | Primary |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terry R Reisner, MD 815 Jefferson St, Algoma, WI 54201-1733 Ph: (920) 487-3496 | Dr Terry R Reisner, MD 427 N 12th, Plummer, ID 83851-0388 Ph: (208) 686-1931 |
Rachel Chisausky, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 | |
Dr. Marilou Marcelo Gonzalez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Mairmn Health, 427 N. 12th Street, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-5133 | |
Mary Elizabeth Barinaga, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 B Street, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-0242 | |
Coy Fullen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 427 N 12th St, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-5133 |