| Justin Thompson, MD | |
|
920 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814-2464 | |
| (208) 667-4557 | |
| (208) 765-2887 |
| Full Name | Justin Thompson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 920 W Ironwood Dr Ste 101, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952922999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M15953 (Idaho) | Primary |
| 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 | Ironwood Family Practice, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083650931 PECOS PAC ID: 3971698424 Enrollment ID: O20070928000526 |
| 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 |
|---|---|
| Justin Thompson, MD 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 Ph: (208) 625-6000 | Justin Thompson, MD 920 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814-2464 Ph: (208) 667-4557 |
Erica Magers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814 Phone: 208-625-3500 Fax: 208-625-3501 | |
Dr. Stephen Paul Smiley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1130 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-209-0288 Fax: 208-209-0289 | |
Heidi A Herold, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815 Phone: 208-209-2066 Fax: 208-209-2076 | |
Ryan John Gilles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001 | |
Dr. Matthew C. Bean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001 | |
Alanna Caitlin Russo, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Crystal Lee Pyrak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001 |