| Noall E Wolff, MD | |
|
360 N 2nd St, Montpelier, ID 83254-1208 | |
| (208) 847-5834 | |
| Not Available |
| Full Name | Noall E Wolff |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 360 N 2nd St, Montpelier, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528140522 | NPI | - | NPPES |
| 002462200 | Medicaid | ID | |
| 756083066 | Other | ID | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3599 (Idaho) | Primary |
| 207P00000X | Emergency Medicine | M3559 (Idaho) | Secondary |
| Entity Name | Navajo Health Foundation-sage Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477735777 PECOS PAC ID: 2163332347 Enrollment ID: O20040326001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Noall E Wolff, MD 360 N 2nd St, Montpelier, ID 83254-1208 Ph: (208) 847-5834 | Noall E Wolff, MD 360 N 2nd St, Montpelier, ID 83254-1208 Ph: (208) 847-5834 |
Dr. Larry David Bomsta, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 467 Washington St, Montpelier, ID 83254 Phone: 208-847-0072 Fax: 208-847-0077 | |
Trevor Dean Jacobson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 166 S 5th St, Montpelier, ID 83254 Phone: 208-847-1110 Fax: 208-847-0228 | |
Houston Reynolds, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 164 S 5th St, Montpelier, ID 83254 Phone: 208-514-2529 | |
Lance A Hansen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 Fax: 208-847-4336 | |
Dr. Peter Melvin Crane, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 | |
Khristina Ashley Meissner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 166 S 5th St, Montpelier, ID 83254 Phone: 208-847-1110 |