| Thomas F Heston, MD | |
|
25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 | |
| (208) 783-1267 | |
| Not Available |
| Full Name | Thomas F Heston |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 25 Jacobs Gulch Rd, Kellogg, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861447245 | NPI | - | NPPES |
| 423898078 | Other | WA | GROUP HEALTH COOPERATIVE |
| 8192759 | Medicaid | WA | |
| 0197912 | Other | WA | L&I (REGULAR) |
| 8906064 | Other | WA | L&I (CRIME VICTIM) |
| 3976HE | Other | WA | REGENCE BLUESHIELD |
| 804135600 | Medicaid | ID | |
| P00305935 | Other | WA | RAILROAD MEDICARE |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas F Heston, MD 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 Ph: (208) 783-1267 | Thomas F Heston, MD 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 Ph: (208) 783-1267 |
Jennifer Backman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Jacobs Gulch Rd, Kellogg, ID 83837 Phone: 208-784-1221 Fax: 208-784-0961 |
Ms. Jocelyn J Korasick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 844-807-3782 |
Steven J Malek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-625-4000 |