| Big Sky Dermatology | |
|
4515 Valley Commons Dr Ste 202 Bozeman MT 59718-4532 | |
| (406) 587-7546 | |
| (406) 585-5672 |
| Full Name | Big Sky Dermatology |
|---|---|
| Speciality | Dermatology |
| Location | 4515 Valley Commons Dr Ste 202, Bozeman, Montana |
| Authorized Official Name and Position | Shannon Voirin Setzer (PRESIDENT) |
| Authorized Official Contact | 4065877546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Sky Dermatology 4515 Valley Commons Dr Ste 202 Bozeman MT 59718-4532 Ph: (406) 587-7546 | Big Sky Dermatology 4515 Valley Commons Dr Ste 202 Bozeman MT 59718-4532 Ph: (406) 587-7546 |
| NPI Number | 1316188337 |
|---|---|
| Provider Enumeration Date | 03/20/2009 |
| Last Update Date | 02/20/2025 |
| Certification Date | 02/20/2025 |
| Medicare PECOS PAC ID | 5698822989 |
|---|---|
| Medicare Enrollment ID | O20090401000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316188337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 11661 (Montana) | Secondary |
| 207N00000X | Dermatology | () | Primary |
| Provider Name | George M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154347854 PECOS PAC ID: 6709781107 Enrollment ID: I20031126000550 |
| Provider Name | Shannon V Setzer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639355928 PECOS PAC ID: 2163579459 Enrollment ID: I20090401000462 |
| Provider Name | Barbara J Neuman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992147516 PECOS PAC ID: 2062647217 Enrollment ID: I20131024001540 |
| Provider Name | Katelyn Marie Luter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770923336 PECOS PAC ID: 4981839685 Enrollment ID: I20200616002794 |
| Provider Name | Mara Limoncelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942590583 PECOS PAC ID: 6406027762 Enrollment ID: I20220107001077 |
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Haute Route Sports Medicine, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 W Main St Apt 522, Bozeman, MT 59715 Phone: 303-332-5047 |
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 |
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