| Shad T Bateman, DO | |
|
98 Poplar St, Blackfoot, ID 83221-1758 | |
| (208) 782-2980 | |
| (208) 785-3504 |
| Full Name | Shad T Bateman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 98 Poplar St, Blackfoot, 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 |
|---|---|---|---|
| 1104478007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-1720 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bmh Inc | 8426149758 | 124 |
| Bingham Memorial Hospital | 8426955014 | 67 |
| Entity Name | Bmh Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Shad T Bateman, DO 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 782-2980 | Shad T Bateman, DO 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 782-2980 |
Peggy Toro, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 W Idaho St, Blackfoot, ID 83221 Phone: 208-782-3990 Fax: 208-782-3994 | |
Dr. Amador Ramirez Cantu, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 354 S 1000 W, Blackfoot, ID 83221 Phone: 208-684-4958 | |
Matthew J Fackrell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 Fax: 208-785-8185 | |
Gary W Soucie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
George G Hales, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Brian Carrigan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Poplar St, Blackfoot, ID 83221 Phone: 208-785-5801 Fax: 208-785-3504 |