| Mr George Bandow, MD | |
| 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | |
| (406) 329-5615 | |
| Not Available | 
| Full Name | Mr George Bandow | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Cardiovascular Disease | 
| Location | 500 W Broadway St Ste 320, Missoula, Montana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003865171 | NPI | - | NPPES | 
| A002 | Other | MT | TRICARE | 
| P00062024 | Other | MT | RAIL ROAD MEDICARE | 
| 96485 | Other | MT | BLUE CROSS/BLUE SHIELD | 
| 67388 | Medicaid | MT | 
| Entity Name | Providence Health & Services Mt | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr George Bandow, MD Po Box 12, Liberty Lake, WA 99019-0012 Ph: (406) 329-5615 | Mr George Bandow, MD 500 W Broadway St Ste 320, Missoula, MT 59802-4003 Ph: (406) 329-5615 | 
| Simone Musco, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
| Rolf H O Holle, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1782 Elison Ln Unit 3, Missoula, MT 59802 Phone: 406-544-1871 | |
| John David Anthony Lakatua, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 West Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 | |
| Mr. Curtis G Wickre, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, 4th Floor, Missoula, MT 59802 Phone: 406-327-1900 | |
| Dr. Charlotte Nelson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-327-1613 | |
| Annie C. Dong, M.D., M.P.H. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804 Phone: 406-327-4646 Fax: 406-327-4649 |