| Thadeus B Koontz, MD | |
|
2034 De La Vina St, Santa Barbara, CA 93105-3814 | |
| (805) 681-5450 | |
| (805) 884-6888 |
| Full Name | Thadeus B Koontz |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2034 De La Vina St, Santa Barbara, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609010156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M11984 (Idaho) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-11984 (Idaho) | Primary |
| Entity Name | Human Supports Of Idaho |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922340124 PECOS PAC ID: 0244485894 Enrollment ID: O20130305000118 |
| Entity Name | St Joseph Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
| Mailing Address | Practice Location Address |
|---|---|
| Thadeus B Koontz, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 367-2175 | Thadeus B Koontz, MD 2034 De La Vina St, Santa Barbara, CA 93105-3814 Ph: (805) 681-5450 |
Dr. Yana M Vanarsdale, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 5276 Hollister Ave, Suite 307, Santa Barbara, CA 93111 Phone: 805-964-2226 Fax: 805-964-2963 | |
Dr. James Hopkins Stewart, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4444 Calle Real, Santa Barbara, CA 93110 Phone: 805-681-5190 | |
Dr. Cathy Merle Rives, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Student Health, University Of California, Santa Barbara, CA 93106 Phone: 805-893-3088 | |
Mangala Gopal, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7402 Hollister Ave, Santa Barbara, CA 93117 Phone: 805-532-8686 | |
Dr. Linda Solter Lynn, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1010 Garden St, Santa Barbara, CA 93101 Phone: 805-962-2787 Fax: 805-963-9139 | |
Dr. Gary Douglas Hanson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2323 De La Vina St, 208, Santa Barbara, CA 93105 Phone: 805-682-5226 Fax: 805-682-5226 | |
Michael Galen Gibbs, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 219 Nogales Ave Ste F, Santa Barbara, CA 93105 Phone: 805-682-8153 Fax: 805-682-5585 |