| Ella Baker, | |
|
3100 Channing Way, Idaho Falls, ID 83404-7533 | |
| (208) 529-6111 | |
| Not Available |
| Full Name | Ella Baker |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 4 Years |
| Location | 3100 Channing Way, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396475380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9171759 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Teton Valley Hospital | Driggs, ID | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| St Johns Medical Center | Jackson, WY | Hospital |
| Star Valley Health | Afton, WY | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Regional Hospitalists Llc | 4789807165 | 119 |
| Entity Name | Utah Regional Hospitalists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740715507 PECOS PAC ID: 4789807165 Enrollment ID: O20170811001682 |
| Entity Name | Santibanez Pac Idaho |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346015948 PECOS PAC ID: 2961846209 Enrollment ID: O20240215000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Ella Baker, 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6111 | Ella Baker, 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6111 |
Janet Lynn Otto, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 220, Idaho Falls, ID 83404 Phone: 208-800-6155 Fax: 208-800-6158 |
Jordan Joseph Cormier, PA-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-552-4909 Fax: 208-522-6101 |
Dr. Shawn D Speirs, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2575 |
Huong Tran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 202-227-2850 |
Mr. Craig D Scoville, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-542-9080 Fax: 208-542-9081 |
Paul A Gerlach, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 |
Chaheyla St Aubin, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4000 |