| Lisa Lee Gushwa, MD | |
|
935 Highland Blvd Ste 2200, Bozeman, MT 59715-6915 | |
| (406) 414-5700 | |
| Not Available |
| Full Name | Lisa Lee Gushwa |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 935 Highland Blvd Ste 2200, Bozeman, Montana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598798316 | NPI | - | NPPES |
| 978992 | Medicaid | AZ | |
| P00457901 | Other | AZ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34251 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | 11969 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bozeman Health Deaconess Hospital | Bozeman, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bozeman Health Deaconess Hospital | 4688984164 | 256 |
| Entity Name | Bozeman Health Deaconess Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619347390 PECOS PAC ID: 4688984164 Enrollment ID: O20151112002559 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Lee Gushwa, MD 915 Highland Blvd, Bozeman, MT 59715-6902 Ph: (406) 414-5000 | Lisa Lee Gushwa, MD 935 Highland Blvd Ste 2200, Bozeman, MT 59715-6915 Ph: (406) 414-5700 |
Dr. Ita M Killeen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Swingle Student Health Service South 7th Ave, Msu, Bozeman, MT 59715 Phone: 406-994-2311 | |
Dr. Todd J Harris, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 935 Highland Blvd, Suite 4400, Bozeman, MT 59715 Phone: 406-587-5123 Fax: 406-556-6758 | |
Dr. Robert Owen Mcginnis, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1575 W Kagy Blvd, Bozeman, MT 59715 Phone: 406-522-9355 | |
Elizabeth Adrienne Stelz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 935 Highland Blvd Ste 2200, Bozeman, MT 59715 Phone: 406-414-5700 | |
Tracy Marie Fairbanks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 935 Highland Blvd Ste 2200, Bozeman, MT 59715 Phone: 406-414-5700 Fax: 406-586-9671 | |
Dr. Eugene W Krebsbach, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 N 19th, Suite A Family Doctors' Urgent Care, Bozeman, MT 59718 Phone: 406-556-9740 Fax: 406-556-9741 | |
Thomas George Hildner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 935 Highland Blvd Ste 2200, Bozeman, MT 59715 Phone: 406-414-5700 |