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905 Highland Blvd Suite 4100 Bozeman MT 59715-6902 | |
| (406) 556-5200 | |
| (406) 556-5205 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 Highland Blvd, Bozeman, Montana |
| Authorized Official Name and Position | Brandee Deslauriers (BUSINESS MANAGER) |
| Authorized Official Contact | 4065878631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1648 Ellis St Ste 201 Bozeman MT 59715-8811 Ph: (406) 587-8631 | 905 Highland Blvd Suite 4100 Bozeman MT 59715-6902 Ph: (406) 556-5200 |
| NPI Number | 1497704860 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 0941238042 |
|---|---|
| Medicare Enrollment ID | O20050729000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497704860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR0200X | Clinic/center - Radiology | 7873 (Montana) | Secondary |
| Provider Name | Ronald W Tharp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124080270 PECOS PAC ID: 6406830694 Enrollment ID: I20050801000907 |
| Provider Name | Heidi L Tuthill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932169182 PECOS PAC ID: 8224171608 Enrollment ID: I20100726000819 |
| Provider Name | Albert P Meier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851612782 PECOS PAC ID: 7113051012 Enrollment ID: I20110819000585 |
| Provider Name | Reginald T Handley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1205018595 PECOS PAC ID: 3476721622 Enrollment ID: I20130206000153 |
| Provider Name | Douglas Hadley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1902984776 PECOS PAC ID: 5597945287 Enrollment ID: I20151125000652 |
| Provider Name | Heather L Borders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508082892 PECOS PAC ID: 8325107790 Enrollment ID: I20190129002826 |
| Provider Name | Jason Thomas Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508201773 PECOS PAC ID: 2668737826 Enrollment ID: I20190617003313 |
| Provider Name | Meghan R Mckeon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316926215 PECOS PAC ID: 9032137195 Enrollment ID: I20211012003183 |
| Provider Name | Jason Himmel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740406149 PECOS PAC ID: 0345310421 Enrollment ID: I20220615003364 |
| Provider Name | Peder Horner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235218942 PECOS PAC ID: 0143398263 Enrollment ID: I20230530002593 |
| Provider Name | Gabriel Edwards |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578821963 PECOS PAC ID: 2860765534 Enrollment ID: I20231220002854 |
Traditional Oriental Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Willson Ave Ste 3002, Bozeman, MT 59715 Phone: 406-587-1167 Fax: 406-219-0935 | |
Bozeman Clinic Pllp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 931 Highland Blvd, Suite 3360, Bozeman, MT 59715 Phone: 406-587-4242 Fax: 406-587-3507 | |
Montana Medical Specialists Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 West Mendenhall Street, Suite 202, Bozeman, MT 59715 Phone: 800-557-8950 | |
Alpine Orthopedics & Sports Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 Phone: 406-586-8029 Fax: 406-586-8009 | |
Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 Highland Blvd, Suite 4400, Bozeman, MT 59715 Phone: 406-587-5123 Fax: 406-556-6758 |