| Michael R Mcentire, MD | |
|
200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Michael R Mcentire |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 16 Years |
| Location | 200 1st St Sw, Rochester, Minnesota |
| 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 |
|---|---|---|---|
| 1477875094 | NPI | - | NPPES |
| P01021805 | Other | MN | RAILROAD MEDICARE |
| ENROLLED | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | M-12480 (Idaho) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | M-12480 (Idaho) | Primary |
| 207L00000X | Anesthesiology | R71475 (Arizona) | Secondary |
| 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 Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic Llc | 1052217478 | 294 |
| Sipi Clinic Llc | 5890167233 | 6 |
| 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 | Sipi Ambulatory Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1518272087 PECOS PAC ID: 8426240664 Enrollment ID: O20101006001183 |
| Entity Name | Sipi Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780398586 PECOS PAC ID: 5890167233 Enrollment ID: O20230210000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Mcentire, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 706-8526 | Michael R Mcentire, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Bridget Perrin Pulos, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Elizabeth R Vogel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Amira Elizabeth Joseph, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Ebrima Kinteh, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 607-284-2511 | |
Christopher M. Burkle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Michael T Walsh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Gerard S Kamath, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |