| Sean Seagraves, | |
|
500 W Broadway St, Missoula, MT 59802-4008 | |
| (406) 543-7271 | |
| (406) 327-1834 |
| Full Name | Sean Seagraves |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 500 W Broadway St, Missoula, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265060735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MED-PHYS-LIC-127366 (Montana) | Primary |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Seagraves, Po Box 12, Liberty Lake, WA 99019-0012 Ph: (866) 747-2455 | Sean Seagraves, 500 W Broadway St, Missoula, MT 59802-4008 Ph: (406) 543-7271 |
Mr. George Bandow, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W Broadway St Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Simone Musco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Rolf H O Holle, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1782 Elison Ln Unit 3, Missoula, MT 59802 Phone: 406-544-1871 | |
John David Anthony Lakatua, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 West Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 | |
Mr. Curtis G Wickre, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, 4th Floor, Missoula, MT 59802 Phone: 406-327-1900 | |
Dr. Charlotte Nelson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-327-1613 | |
Annie C. Dong, M.D., M.P.H. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804 Phone: 406-327-4646 Fax: 406-327-4649 |