| Vimal B Shenoy, | |
|
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | |
| (208) 625-4000 | |
| Not Available |
| Full Name | Vimal B Shenoy |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 2003 Kootenai Health Way, Coeur D Alene, 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 |
|---|---|---|---|
| 1770087207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | S3457 (Texas) | Primary |
| 207P00000X | Emergency Medicine | MD61118434 (Washington) | Secondary |
| 207P00000X | Emergency Medicine | MC-2873 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Medical Center | Spokane, WA | Hospital |
| Multicare Valley Hospital | Spokane, WA | Hospital |
| Newport Community Hospital | Newport, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spokane Emergency Care Physicians Pllc | 0143554600 | 64 |
| Entity Name | Pend Oreille County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427264795 PECOS PAC ID: 3274431184 Enrollment ID: O20031230000017 |
| Entity Name | Spokane Emergency Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912564055 PECOS PAC ID: 0143554600 Enrollment ID: O20190703000905 |
| Mailing Address | Practice Location Address |
|---|---|
| Vimal B Shenoy, 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000 | Vimal B Shenoy, 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000 |
Christina Crabtree, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 Fax: 208-625-5731 | |
Dr. Matthew Kunz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Dr. Thomas Patrick Martin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1221 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814 Phone: 208-773-7731 Fax: 208-773-7721 | |
Dr. Cody Laverdiere, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708 | |
Kathrine Giarra, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Erika Crawford, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 | |
Cameron Crandall, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708 |