| Mr Craig D Scoville, MD | |
|
2220 E 25th St, Idaho Falls, ID 83404-7542 | |
| (208) 542-9080 | |
| (208) 542-9081 |
| Full Name | Mr Craig D Scoville |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 43 Years |
| Location | 2220 E 25th St, Idaho 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 |
|---|---|---|---|
| 1194818997 | NPI | - | NPPES |
| 003958200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | M5232 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Craig D Scoville, MD 2220 E 25th St, Idaho Falls, ID 83404-7542 Ph: (208) 542-9080 | Mr Craig D Scoville, MD 2220 E 25th St, Idaho Falls, ID 83404-7542 Ph: (208) 542-9080 |
Dr. Douglas N Whatmore, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 3200 Channing Way, Ste 205, Idaho Falls, ID 83404 Phone: 208-535-4300 Fax: 208-535-4315 | |
Janet Lynn Otto, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 220, Idaho Falls, ID 83404 Phone: 208-800-6155 Fax: 208-800-6158 | |
Jordan Joseph Cormier, PA-C Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-552-4909 Fax: 208-522-6101 | |
Dr. Shawn D Speirs, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2575 | |
Paul A Gerlach, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 | |
Dr. Ned R Warner, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2770 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-522-4000 Fax: 208-528-4254 |