| Kurt R Mayberry, MD | |
|
450 E Main St, Rexburg, ID 83440-2048 | |
| (208) 356-3691 | |
| Not Available |
| Full Name | Kurt R Mayberry |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 30 Years |
| Location | 450 E Main St, Rexburg, 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 |
|---|---|---|---|
| 1891886479 | NPI | - | NPPES |
| 028692 | Other | ID | BLUE CROSS OF IDAHO # |
| 000010139001 | Other | ID | BLUE SHIELD OF IDAHO # |
| M8416 | Other | ID | STATE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M8416 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dignity Health - Arizona General Hospital | Laveen, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tec Emergency Physicians Of Arizona, Llc | 6204256084 | 127 |
| Entity Name | Tec Emergency Physicians Of Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt R Mayberry, MD 450 E Main St, Po Box 310, Rexburg, ID 83440-2048 Ph: (208) 356-3691 | Kurt R Mayberry, MD 450 E Main St, Rexburg, ID 83440-2048 Ph: (208) 356-3691 |
Dr. Rodney Gillman Jay Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691 | |
Dr. Russell Hal Mcune, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691 | |
Dr. Nathan Chad Hancock, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691 | |
Dr. Edwin G Wells, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691 | |
Debra Brand, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691 | |
Dr. Daniel R Marshall, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-4841 Fax: 208-359-4842 |