| Patrick Connor Spotts, MD | |
|
2325 Coronado St, Idaho Falls, ID 83404-7407 | |
| (864) 416-1090 | |
| Not Available |
| Full Name | Patrick Connor Spotts |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2325 Coronado St, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053832212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 41056 (South Carolina) | Primary |
| 207P00000X | Emergency Medicine | M-14679 (Idaho) | Secondary |
| Entity Name | Mcleod Health Cheraw |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275912974 PECOS PAC ID: 7911228259 Enrollment ID: O20151218002079 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Connor Spotts, MD 2325 Coronado St, Idaho Falls, ID 83404-7407 Ph: (864) 416-1090 | Patrick Connor Spotts, MD 2325 Coronado St, Idaho Falls, ID 83404-7407 Ph: (864) 416-1090 |
Dr. Jerry B Smedley, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2001 | |
Dr. Matthew R Griggs, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4130 Fax: 208-535-4125 | |
Douglas James Cook, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-7910 | |
Dr. Scott M Packer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4130 Fax: 208-535-4125 | |
Dr. Joseph M Anderson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4130 Fax: 208-535-4125 | |
Dr. Justin John Thompson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269 |