| Stacey A Good, DO | |
|
520 N Third Ave, Sandpoint, ID 83864-1507 | |
| (208) 263-1441 | |
| Not Available |
| Full Name | Stacey A Good |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 520 N Third Ave, Sandpoint, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487944336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | O1065 (Idaho) | Primary |
| Entity Name | Bonner General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey A Good, DO 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 Ph: (512) 730-3056 | Stacey A Good, DO 520 N Third Ave, Sandpoint, ID 83864-1507 Ph: (208) 263-1441 |
Dr. Charlene Marie Dehaven, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 N 3rd Ave, Sandpoint, ID 83864 Phone: 208-265-1180 Fax: 208-265-1278 | |
Dr. Paul Gerald Rumore, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 N 3rd Ave, Sandpoint, ID 83864 Phone: 208-265-1180 Fax: 208-265-1278 | |
Dr. Vince Huntsberger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 418 North Third, Bonner General Hospital, Sandpoint, ID 83864 Phone: 208-265-1441 | |
Melissa Cosse, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 N 3rd Ave, Sandpoint, ID 83864 Phone: 208-263-1441 |