| Samuel D Gardner, DO | |
|
805 Main St, Salmon, ID 83467-0000 | |
| (208) 756-6212 | |
| (208) 756-6336 |
| Full Name | Samuel D Gardner |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 805 Main St, Salmon, 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 |
|---|---|---|---|
| 1962588111 | NPI | - | NPPES |
| 804213400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-174 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brio Idaho Home Health Llc | Idaho falls, ID | Home health agency |
| Steele Memorial Medical Center | Salmon, ID | Hospital |
| Discovery Rehabilitation And Living | Salmon, ID | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steele Memorial Medical Center | 9436131265 | 23 |
| Entity Name | Steele Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851403265 PECOS PAC ID: 9436131265 Enrollment ID: O20040604000056 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel D Gardner, DO 203 S Daisy St, Salmon, ID 83467-0000 Ph: (208) 756-5600 | Samuel D Gardner, DO 805 Main St, Salmon, ID 83467-0000 Ph: (208) 756-6212 |
Dr. Linda J Powell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 S Daisy St, Salmon, ID 83467 Phone: 208-756-6212 Fax: 888-789-1866 | |
Joseph James Krakker Iii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 S Daisy St, Salmon, ID 83467 Phone: 208-756-6212 Fax: 888-789-1866 | |
Joel V Dye, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 203 S Daisy St, Salmon, ID 83467 Phone: 208-756-5600 Fax: 208-756-4169 |