| Rodney Bates Jr, DO | |
|
36 Professional Plz, Rexburg, ID 83440-2049 | |
| (208) 359-9411 | |
| (208) 656-8444 |
| Full Name | Rodney Bates Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 36 Professional Plz, Rexburg, 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 |
|---|---|---|---|
| 1700822491 | NPI | - | NPPES |
| 807206700 | Medicaid | ID | |
| 000010151181 | Other | ID | REGENCE BLUE SHIELD OF ID |
| S5759 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | O-0359 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney Bates Jr, DO 36 Professional Plz, Rexburg, ID 83440-2049 Ph: (208) 359-9411 | Rodney Bates Jr, DO 36 Professional Plz, Rexburg, ID 83440-2049 Ph: (208) 359-9411 |
Dr. Steven Hansen Lofgran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-8444 | |
Mr. Craig D Heiner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 East Main, Rexburg, ID 83440 Phone: 208-356-8808 Fax: 208-356-8810 | |
Dr. Hans Thurgood Redd, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Shc, Rexburg, ID 83460 Phone: 208-496-1300 Fax: 208-496-1306 | |
Dr. Dane J Dickson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 Walker Drive, Rexburg, ID 83440 Phone: 208-356-9559 Fax: 208-356-6601 | |
Jack O. Clark, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6419 Fax: 208-356-3111 |