| Dr Ian William Udell, MD | |
|
931 Highland Blvd Ste 3360, Bozeman, MT 59715-6914 | |
| (406) 414-5000 | |
| Not Available |
| Full Name | Dr Ian William Udell |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 15 Years |
| Location | 931 Highland Blvd Ste 3360, Bozeman, Montana |
| 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 |
|---|---|---|---|
| 1396065223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD61561040 (Washington) | Secondary |
| 208800000X | Urology | M-16528 (Idaho) | Secondary |
| 208800000X | Urology | 141791 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Pullman Regional Hospital | Pullman, WA | Hospital |
| Northwest Specialty Hospital | Post falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Cancer Care Pllc | 6901158773 | 12 |
| Tri-state Memorial Hospital | 4082502422 | 26 |
| Public Hospital District 1-a Of Whitman County | 8325934987 | 69 |
| Entity Name | Beacon Cancer Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407335367 PECOS PAC ID: 6901158773 Enrollment ID: O20181004002759 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian William Udell, MD 915 Highland Blvd, Bozeman, MT 59715-6902 Ph: (406) 414-5000 | Dr Ian William Udell, MD 931 Highland Blvd Ste 3360, Bozeman, MT 59715-6914 Ph: (406) 414-5000 |
Dr. Jason Farrell Skenazy, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 931 Highland Blvd Ste 3360, Bozeman, MT 59715 Phone: 406-414-5300 | |
Dr. James Bruce Robertson, MD Urology Medicare: Medicare Enrolled Practice Location: 711 W Main St, Bozeman, MT 59715 Phone: 406-551-2306 Fax: 406-284-0250 | |
Gregory Pritham, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 931 Highland Blvd Ste 3360, Bozeman, MT 59715 Phone: 406-414-5300 | |
John R Gannon, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 931 Highland Blvd Ste 3360, Bozeman, MT 59715 Phone: 406-414-5300 |