| Dr Zachary Paul Halversen, MD | |
|
606 N 3rd Avenue, #101, Sandpoint, ID 83864 | |
| (208) 263-1435 | |
| (208) 263-4580 |
| Full Name | Dr Zachary Paul Halversen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 606 N 3rd Avenue, Sandpoint, 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 |
|---|---|---|---|
| 1902169485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M13002 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eden Home Health | Sandpoint, ID | Home health agency |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sandpoint Family Health Center, Pllc. | 3779598404 | 8 |
| Entity Name | Sandpoint Family Health Center, Pllc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881613321 PECOS PAC ID: 3779598404 Enrollment ID: O20060216000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zachary Paul Halversen, MD 606 N 3rd Avenue, #101, Sandpoint, ID 83864 Ph: (208) 263-1435 | Dr Zachary Paul Halversen, MD 606 N 3rd Avenue, #101, Sandpoint, ID 83864 Ph: (208) 263-1435 |
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, MD Family Medicine Medicare: May Accept Medicare Assignments 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 |