| Mark S Ibsen, MD | |
|
39 Neill Ave, Helena, MT 59601-3330 | |
| (406) 513-1052 | |
| Not Available |
| Full Name | Mark S Ibsen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 39 Neill Ave, Helena, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255378824 | NPI | - | NPPES |
| 104958 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 7378 (Montana) | Primary |
| 207Q00000X | Family Medicine | 7378 (Montana) | Secondary |
| Entity Name | Peak Health & Wellness, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073669461 PECOS PAC ID: 4082500889 Enrollment ID: O20040227000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Ibsen, MD 39 Neill Avenue, Helena, MT 59601 Ph: (406) 513-1052 | Mark S Ibsen, MD 39 Neill Ave, Helena, MT 59601-3330 Ph: (406) 513-1052 |
Michael A Sirr, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2475 E Broadway St, Helena, MT 59601 Phone: 406-442-2480 | |
David W Silk, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2475 E Broadway St, Helena, MT 59601 Phone: 406-442-2480 | |
Andrew C Michel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2475 E Broadway St, Helena, MT 59601 Phone: 406-442-2480 | |
Mark Bryan Rabold, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2475 E Broadway St, Helena, MT 59601 Phone: 406-442-2480 | |
Trent S. Jensen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2475 E Broadway St, Helena, MT 59601 Phone: 406-444-2150 Fax: 406-447-2995 | |
William S Gallea, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2475 E Broadway St, Helena, MT 59601 Phone: 406-442-2480 |