| Jeffrey Haller, MD | |
|
700 W Kent Ave, Missoula, MT 59801-6772 | |
| (406) 541-3277 | |
| (406) 541-3950 |
| Full Name | Jeffrey Haller |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 38 Years |
| Location | 700 W Kent Ave, Missoula, 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 |
|---|---|---|---|
| 1194712307 | NPI | - | NPPES |
| 35711 | Medicaid | MT | |
| 003084200 | Medicaid | ID | |
| 120178600 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 9810 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Patrick Hospital | Missoula, MT | Hospital |
| Barrett Hospital & Healthcare | Dillon, MT | Hospital |
| St Peters Hospital | Helena, MT | Hospital |
| Community Medical Center | Missoula, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence St Joseph Medical Center | 0446230247 | 41 |
| Rocky Mountain Ear Nose And Throat Center Pc | 3678472099 | 17 |
| Entity Name | Rocky Mountain Ear Nose & Throat Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306857917 PECOS PAC ID: 3678472099 Enrollment ID: O20040105000867 |
| Entity Name | Providence St Joseph Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
| Entity Name | Marcus Daly Memorial Hospital Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1659475846 PECOS PAC ID: 5597664474 Enrollment ID: O20061104000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Haller, MD Po Box 4907, Missoula, MT 59806-4907 Ph: (406) 541-3277 | Jeffrey Haller, MD 700 W Kent Ave, Missoula, MT 59801-6772 Ph: (406) 541-3277 |
Phillip A Gardner, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3277 Fax: 406-541-3811 | |
Bradley Morris, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 535 Evan Kelly Rd, Missoula, MT 59802 Phone: 406-728-3855 | |
Dr. Thomas Clark Hoshaw, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3277 | |
David Mark Hayes, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3804 Fax: 406-541-3950 | |
Daniel Edward Braby, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3277 Fax: 406-541-3950 | |
Peter Gordon Vondoersten, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3277 Fax: 406-541-3950 |