| Naomi Onaka, | |
|
6 13th Ave E, Polson, MT 59860-5315 | |
| (406) 883-5680 | |
| Not Available |
| Full Name | Naomi Onaka |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 6 13th Ave E, Polson, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932720224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R77968 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | MED-PHYS-LIC-126078 (Montana) | Primary |
| Entity Name | Providence St Joseph Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
| Entity Name | Clark Fork Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538384987 PECOS PAC ID: 1850491960 Enrollment ID: O20070702000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Naomi Onaka, Po Box 12, Liberty Lake, WA 99019-0012 Ph: (866) 747-2455 | Naomi Onaka, 6 13th Ave E, Polson, MT 59860-5315 Ph: (406) 883-5680 |
Bruce Speicher, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 | |
Joseph Smith Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 | |
Terry A Smith, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Ridgewater Dr Ste A, Polson, MT 59860 Phone: 406-883-3200 Fax: 406-883-9483 | |
Dr. Tyler Lee Dickey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 | |
Corey Gaul, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 |