| Kevin Matthew Hanks, DO | |
|
1582 Elk Creek Drive, Idaho Falls, ID 83404 | |
| (208) 542-5414 | |
| (208) 552-2708 |
| Full Name | Kevin Matthew Hanks |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 24 Years |
| Location | 1582 Elk Creek Drive, 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 |
|---|---|---|---|
| 1215943295 | NPI | - | NPPES |
| 80756400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 0-0401 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Lost Rivers Medical Center | Arco, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Mountain West Ear Nose And Throat, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447265285 PECOS PAC ID: 0345249298 Enrollment ID: O20061204000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Matthew Hanks, DO 1582 Elk Creek Drive, Idaho Falls, ID 83404 Ph: (208) 542-5414 | Kevin Matthew Hanks, DO 1582 Elk Creek Drive, Idaho Falls, ID 83404 Ph: (208) 542-5414 |
Kent W. Davis, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3869 Canterbury Way, Idaho Falls, ID 83404 Phone: 208-523-1652 | |
Dr. Terry Baker, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way, A-105, Idaho Falls, ID 83404 Phone: 208-552-9530 Fax: 208-522-6262 | |
Austin Baker, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste A105, Idaho Falls, ID 83404 Phone: 208-552-9530 | |
Dr. Mark Lee Capener, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2065 E 17th St, Suite B-2, Idaho Falls, ID 83404 Phone: 208-524-7244 Fax: 208-524-1088 | |
Dr. Richard Garrett Lee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3446 S 15th E, Idaho Falls, ID 83404 Phone: 208-522-6335 Fax: 208-522-0550 | |
Scott Ryan Hall, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2305 Coronado St, Idaho Falls, ID 83404 Phone: 208-522-1764 Fax: 208-522-1766 |