| Sai Pramod Krishna Alla, MD | |
|
1641 E Polston Ave Ste 101, Post Falls, ID 83854-7852 | |
| (208) 457-4208 | |
| (208) 457-4197 |
| Full Name | Sai Pramod Krishna Alla |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 8 Years |
| Location | 1641 E Polston Ave Ste 101, Post Falls, 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 |
|---|---|---|---|
| 1396272357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | M-17197 (Idaho) | Secondary |
| 207L00000X | Anesthesiology | MD61448450 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Specialty Hospital | Post falls, ID | Hospital |
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Shoshone Medical Center | Kellogg, ID | Hospital |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Service- Washington | 0840279758 | 164 |
| North Idaho Day Surgery Llc | 0840101218 | 76 |
| Entity Name | Anesthesia Associates, Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831143254 PECOS PAC ID: 7214823657 Enrollment ID: O20040224000439 |
| Entity Name | Providence Health & Service- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Sai Pramod Krishna Alla, MD 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300 | Sai Pramod Krishna Alla, MD 1641 E Polston Ave Ste 101, Post Falls, ID 83854-7852 Ph: (208) 457-4208 |
Jessica Berryman Jameson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1641 E Polston Ave Ste 101, Post Falls, ID 83854 Phone: 208-457-4208 Fax: 208-457-4197 |