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 |
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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 | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Entity Name | Human Supports Of Idaho |
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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 |
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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 |
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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 |
Helen Vafaie, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 305 Camino Del Remedio, Santa Barbara, CA 93110 Phone: 805-465-8199 Fax: 805-681-9144 | |
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 | |
Dr. Miriam Andrade Staub, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4444 Calle Real, Santa Barbara, CA 93110 Phone: 805-681-5190 | |
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 |