| John Todd Bagwell, MD | |
|
3200 Channing Way Ste 306, Idaho Falls, ID 83404-7546 | |
| (208) 535-4475 | |
| Not Available |
| Full Name | John Todd Bagwell |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 45 Years |
| Location | 3200 Channing Way Ste 306, Idaho Falls, 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 |
|---|---|---|---|
| 1598783128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | F6406 (Texas) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | M-13554 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Physician Services Inc | 2163430943 | 17 |
| Entity Name | Idaho Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902841893 PECOS PAC ID: 2163430943 Enrollment ID: O20070208000680 |
| Mailing Address | Practice Location Address |
|---|---|
| John Todd Bagwell, MD Po Box 277381, Atlanta, GA 30384-7381 Ph: () - | John Todd Bagwell, MD 3200 Channing Way Ste 306, Idaho Falls, ID 83404-7546 Ph: (208) 535-4475 |
Dr. Douglas N Whatmore, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 3200 Channing Way, Ste 205, Idaho Falls, ID 83404 Phone: 208-535-4300 Fax: 208-535-4315 | |
Janet Lynn Otto, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 220, Idaho Falls, ID 83404 Phone: 208-800-6155 Fax: 208-800-6158 | |
Jordan Joseph Cormier, PA-C Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-552-4909 Fax: 208-522-6101 | |
Dr. Shawn D Speirs, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2575 | |
Mr. Craig D Scoville, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-542-9080 Fax: 208-542-9081 | |
Paul A Gerlach, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 | |
Dr. Ned R Warner, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2770 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-522-4000 Fax: 208-528-4254 |