| John Bradley Mcgowan, MD | |
|
2236 N Merritt Creek Loop Ste 200, Coeur D Alene, ID 83814-4960 | |
| (208) 625-3800 | |
| (208) 625-3801 |
| Full Name | John Bradley Mcgowan |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 21 Years |
| Location | 2236 N Merritt Creek Loop Ste 200, Coeur D Alene, 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 |
|---|---|---|---|
| 1164624573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | M-15651 (Idaho) | Primary |
| 207T00000X | Neurological Surgery | N9095 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kootenai Health Inc | 1355792276 | 382 |
| Entity Name | Kootenai Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
| 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 |
|---|---|
| John Bradley Mcgowan, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-3800 | John Bradley Mcgowan, MD 2236 N Merritt Creek Loop Ste 200, Coeur D Alene, ID 83814-4960 Ph: (208) 625-3800 |
Dr. William Francis Ganz, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 2236 N Merrit Creek Loop, Suite A, Coeur D Alene, ID 83814 Phone: 208-664-5467 | |
Dr. Jeffrey J Larson, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3320 N Grand Mill Ln, Coeur D Alene, ID 83814 Phone: 208-765-9100 Fax: 208-765-9103 | |
Michael Raber, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2236 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814 Phone: 208-625-3800 Fax: 208-625-3801 | |
Abigail Priestley Mccallum, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2288 N Merritt Creek Loop Ste 200, Coeur D Alene, ID 83814 Phone: 208-625-3800 |