| Gene D Branum, MD | |
|
180 1st St W, #301, Ketchum, ID 83340 | |
| (208) 726-3707 | |
| Not Available |
| Full Name | Gene D Branum |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 40 Years |
| Location | 180 1st St W, Ketchum, 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 |
|---|---|---|---|
| 1386640076 | NPI | - | NPPES |
| 1386640076 | Medicaid | ID | |
| 1386640076 | Other | ID | BLUE CROSS OF ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101230423 (Virginia) | Secondary |
| 208600000X | Surgery | M-13897 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Canyon Medical Center | Gooding, ID | Hospital |
| Entity Name | North Canyon Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
| Entity Name | Gene D Branum Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164937496 PECOS PAC ID: 7719240266 Enrollment ID: O20180413001664 |
| Mailing Address | Practice Location Address |
|---|---|
| Gene D Branum, MD Po Box 3778, Ketchum, ID 83340-3721 Ph: (208) 726-3707 | Gene D Branum, MD 180 1st St W, #301, Ketchum, ID 83340 Ph: (208) 726-3707 |
Dr. Frank L Fiaschetti, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Suite 109, Ketchum, ID 83340 Phone: 208-726-1765 Fax: 208-726-2863 | |
Dr. Ralph P Campanale Ii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 180 W First Street Suite 301, Ketchum, ID 83340 Phone: 208-726-3707 Fax: 208-726-4817 |