| Scott Alan Baldridge, DO | |
|
365 Mckenna Dr, Mountain Home, ID 83647 | |
| (208) 587-9703 | |
| Not Available |
| Full Name | Scott Alan Baldridge |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Sleep Medicine |
| Location | 365 Mckenna Dr, Mountain Home, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295728897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-333 (Idaho) | Secondary |
| 207QS1201X | Family Medicine - Sleep Medicine | 009868 (Arizona) | Primary |
| Entity Name | Sleep Wake Idaho Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700642683 PECOS PAC ID: 7517406697 Enrollment ID: O20240903003955 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Alan Baldridge, DO 515 E 17th N, Mountain Home, ID 83647-1759 Ph: (208) 587-0155 | Scott Alan Baldridge, DO 365 Mckenna Dr, Mountain Home, ID 83647 Ph: (208) 587-9703 |
Stephen C Johnson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 895 N 6th E, Mountain Home, ID 83647 Phone: 702-453-3799 Fax: 702-453-5741 | |
Katherine Gray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-875-3988 Fax: 208-587-3324 | |
Dr. Karl H. Olson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 Fax: 208-580-9812 | |
Dr. Dennis Dan Crossley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 Fax: 208-580-9812 | |
Timothy James Muhonen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 | |
Dr. Richard Frederick Starkey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 805 N 6th E, Mountain Home, ID 83647 Phone: 208-587-9736 Fax: 208-587-7905 |