| Mark Alan Crandall, MD | |
|
775 Pole Line Rd W Ste 112, Twin Falls, ID 83301-5819 | |
| (208) 814-8200 | |
| (208) 933-4921 |
| Full Name | Mark Alan Crandall |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 19 Years |
| Location | 775 Pole Line Rd W Ste 112, Twin 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 |
|---|---|---|---|
| 1619096278 | NPI | - | NPPES |
| 126992000 | Medicaid | MN | |
| P00428375 | Other | MN | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 49699 (Minnesota) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 35.093591 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| St Luke's Jerome | Jerome, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Minidoka Memorial Hospital | Rupert, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic Llc | 1052217478 | 294 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20061104000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Alan Crandall, MD 473 W 12th Ave Ste 200, Columbus, OH 43210-1252 Ph: (614) 293-8000 | Mark Alan Crandall, MD 775 Pole Line Rd W Ste 112, Twin Falls, ID 83301-5819 Ph: (208) 814-8200 |
Joseph Murdock Strobel, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 | |
Dr. William Stephen Lefler Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 746 N College Rd Ste A, Twin Falls, ID 83301 Phone: 208-814-7230 | |
Nagraj Narasimhan, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 | |
Dr. Timothy Adam Enders, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 | |
Dr. Joseph Ezer, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W Ste 315, Twin Falls, ID 83301 Phone: 208-814-8750 | |
John A Baker, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 302, Twin Falls, ID 83301 Phone: 208-814-8600 Fax: 208-814-8942 | |
Dr. Shawn Keith French, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 315, Twin Falls, ID 83301 Phone: 208-814-8750 |