| Nelson Antoniuk, MD | |
|
6509 Highway 2 Ste 101, Priest River, ID 83856-6609 | |
| (208) 448-2321 | |
| (208) 448-1317 |
| Full Name | Nelson Antoniuk |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 6509 Highway 2 Ste 101, Priest River, 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 |
|---|---|---|---|
| 1588609176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-13097 (Idaho) | Primary |
| 207P00000X | Emergency Medicine | MD00040823 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eden Home Health | Sandpoint, ID | Home health agency |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Newport Community Hospital | Newport, WA | Hospital |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boundary Regional Community Health Center Inc | 2264341221 | 18 |
| Entity Name | Boundary Regional Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538447727 PECOS PAC ID: 2264341221 Enrollment ID: O20050211000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Antoniuk, MD Po Box 2160, Sandpoint, ID 83864-0908 Ph: (208) 263-7101 | Nelson Antoniuk, MD 6509 Highway 2 Ste 101, Priest River, ID 83856-6609 Ph: (208) 448-2321 |
Dr. Jeffrey B Fowler, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 314 E Albeni Hwy, Suite 102, Priest River, ID 83856 Phone: 208-448-2321 Fax: 208-448-1317 | |
Dr. Charles R Falter, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 314 E Albeni Hwy, Suite 102, Priest River, ID 83856 Phone: 208-448-2321 Fax: 208-448-1317 |