| Gregory T Botkin, MD | |
|
6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | |
| (208) 267-3141 | |
| Not Available |
| Full Name | Gregory T Botkin |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 6640 Kaniksu St, Bonners Ferry, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346341351 | NPI | - | NPPES |
| 1346341351 | Medicaid | ID | |
| CS-7048 | Other | ID | IDAHO CONTROLLED SUBSTANC |
| M-7205 | Other | ID | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-7205 (Idaho) | Primary |
| Entity Name | Boundary Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801896683 PECOS PAC ID: 3274583406 Enrollment ID: O20050126000312 |
| Entity Name | Boundary Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801896683 PECOS PAC ID: 3274583406 Enrollment ID: O20061104000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory T Botkin, MD 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141 | Gregory T Botkin, MD 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141 |
Dr. Jennifer F Garwick, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 |
Madeline Brown, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6641 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3655 |
Chuck Lee Newhouse, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6641 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3655 |
Dr. Troy W Geyman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6488 Chinook St, Bonners Ferry, ID 83805 Phone: 208-267-8710 |
Dr. John Friesen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 |
Dr. Susan J Layeux, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805 Phone: 208-267-3655 Fax: 208-267-3757 |
Dr. Ligeia A Reinhardt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 |