| Bozeman Health Big Sky Medical Center, Llc | |
|
334 Town Center Avenue Big Sky MT 59716 | |
| (406) 995-6995 | |
| (406) 995-6999 |
| Full Name | Bozeman Health Big Sky Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 334 Town Center Avenue, Big Sky, Montana |
| Authorized Official Name and Position | Deann Douglas (PFS CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4064141826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bozeman Health Big Sky Medical Center, Llc 915 Highland Blvd Attention - Pfs Bozeman MT 59715-6902 Ph: (406) 414-5000 | Bozeman Health Big Sky Medical Center, Llc 334 Town Center Avenue Big Sky MT 59716 Ph: (406) 995-6995 |
| NPI Number | 1740659952 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 04/10/2020 |
| Medicare PECOS PAC ID | 7315256872 |
|---|---|
| Medicare Enrollment ID | O20151023000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740659952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Debra R Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457388324 PECOS PAC ID: 9436049434 Enrollment ID: I20040315001610 |
| Provider Name | Philip A Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114028735 PECOS PAC ID: 1850334749 Enrollment ID: I20050601001093 |
| Provider Name | Eunice M Singletary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225107865 PECOS PAC ID: 1557379872 Enrollment ID: I20080130000670 |
| Provider Name | Kathleen Damberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508835232 PECOS PAC ID: 6507932324 Enrollment ID: I20080902000551 |
| Provider Name | Stephanie J Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265526768 PECOS PAC ID: 4082760079 Enrollment ID: I20090916000215 |
| Provider Name | Tory B Katz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003805847 PECOS PAC ID: 0143357806 Enrollment ID: I20100428000986 |
| Provider Name | Jeremy P Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770781288 PECOS PAC ID: 9830222736 Enrollment ID: I20100729000011 |
| Provider Name | Richard G Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174549877 PECOS PAC ID: 5395930820 Enrollment ID: I20101110000800 |
| Provider Name | Milissa A Priebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073820783 PECOS PAC ID: 2961698899 Enrollment ID: I20101118000197 |
| Provider Name | Leslie A Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639130560 PECOS PAC ID: 3678516416 Enrollment ID: I20110208000057 |
| Provider Name | Tammy J Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407151574 PECOS PAC ID: 4688845704 Enrollment ID: I20110922000004 |
| Provider Name | Kimberly A Borke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154467801 PECOS PAC ID: 1850438698 Enrollment ID: I20111005000937 |
| Provider Name | Maren Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376538512 PECOS PAC ID: 2062583495 Enrollment ID: I20120404000019 |
| Provider Name | David J Crites |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164457453 PECOS PAC ID: 3870678873 Enrollment ID: I20120910000768 |
| Provider Name | Jesse F Coil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770789323 PECOS PAC ID: 3870730344 Enrollment ID: I20130501000265 |
| Provider Name | Lisa A Murdoch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144337940 PECOS PAC ID: 0749266278 Enrollment ID: I20130606000202 |
| Provider Name | Andrew B Gentry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922072560 PECOS PAC ID: 4789822206 Enrollment ID: I20131025001489 |
| Provider Name | Tiffany A Kuehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538241096 PECOS PAC ID: 7810988276 Enrollment ID: I20140114001839 |
| Provider Name | June E Neeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508965369 PECOS PAC ID: 1052303047 Enrollment ID: I20140731001331 |
| Provider Name | Margaret B Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851569438 PECOS PAC ID: 4880667559 Enrollment ID: I20150318002468 |
| Provider Name | Lisa M Brubaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922402882 PECOS PAC ID: 2264750496 Enrollment ID: I20150417001380 |
| Provider Name | Robert W Jensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164469698 PECOS PAC ID: 9133194004 Enrollment ID: I20150724012030 |
| Provider Name | Mark A Siemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871649368 PECOS PAC ID: 4284520495 Enrollment ID: I20151208002483 |
| Provider Name | Benjamin Joseph Ruffatto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285074526 PECOS PAC ID: 9335433440 Enrollment ID: I20160812000944 |
| Provider Name | Mark D Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20161006002221 |
| Provider Name | Dillon C Euler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396946554 PECOS PAC ID: 4587980446 Enrollment ID: I20170619001642 |
| Provider Name | Curt Pinchuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275532871 PECOS PAC ID: 2668420399 Enrollment ID: I20170703000185 |
| Provider Name | Rhonda R Lampen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760412621 PECOS PAC ID: 2163477308 Enrollment ID: I20170717000900 |
| Provider Name | Marissa L Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20170719000145 |
| Provider Name | Nicole Dirienzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316151632 PECOS PAC ID: 2163556887 Enrollment ID: I20170804001486 |
| Provider Name | Jacob Ryan Opfer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790042331 PECOS PAC ID: 9133492846 Enrollment ID: I20170831001290 |
| Provider Name | Kleanthis Dendrinos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861528457 PECOS PAC ID: 5294712709 Enrollment ID: I20170915003174 |
| Provider Name | Peter Walsh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255372736 PECOS PAC ID: 9537050596 Enrollment ID: I20171201000049 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20171201002744 |
| Provider Name | Charles M Clair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003012204 PECOS PAC ID: 6709910128 Enrollment ID: I20180102002546 |
| Provider Name | Jamie Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043318736 PECOS PAC ID: 4486603347 Enrollment ID: I20180116002637 |
| Provider Name | Kelsey Lau Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891203790 PECOS PAC ID: 8224399308 Enrollment ID: I20180306002284 |
| Provider Name | Alice Carol Bremner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730574674 PECOS PAC ID: 0244546166 Enrollment ID: I20180723002828 |
| Provider Name | Anna S Beers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326434762 PECOS PAC ID: 6103106711 Enrollment ID: I20180727002672 |
| Provider Name | Karli Edholm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508083122 PECOS PAC ID: 6709073323 Enrollment ID: I20180730001607 |
| Provider Name | Charles O Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174609432 PECOS PAC ID: 2466438270 Enrollment ID: I20180730002145 |
| Provider Name | Laura E Stump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326483884 PECOS PAC ID: 3173756699 Enrollment ID: I20190104002487 |
| Provider Name | Kevin Curtis Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750523775 PECOS PAC ID: 7618242389 Enrollment ID: I20190108003283 |
| Provider Name | Jill Testerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891174546 PECOS PAC ID: 6204144629 Enrollment ID: I20190109000351 |
| Provider Name | Kelly Michele Euwema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942764873 PECOS PAC ID: 8325388655 Enrollment ID: I20190322000529 |
| Provider Name | Patrick Maidman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467490375 PECOS PAC ID: 4688616287 Enrollment ID: I20190326002167 |
| Provider Name | Matthew J Niedzwiecki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174859284 PECOS PAC ID: 4183866981 Enrollment ID: I20190701001671 |
| Provider Name | Rabab Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326269382 PECOS PAC ID: 6002042165 Enrollment ID: I20190710001494 |
| Provider Name | Mary Bethany L Mcmaster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356704498 PECOS PAC ID: 2466745690 Enrollment ID: I20190712002162 |
| Provider Name | Abraham Medaris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422480 PECOS PAC ID: 3375769797 Enrollment ID: I20191202001283 |
| Provider Name | Waring Trible |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043206238 PECOS PAC ID: 6608854914 Enrollment ID: I20200320001268 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20200416001967 |
| Provider Name | Lauren M Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568082808 PECOS PAC ID: 2466882923 Enrollment ID: I20200423002193 |
| Provider Name | Iris Fadlon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346539202 PECOS PAC ID: 6709196447 Enrollment ID: I20200605001558 |
| Provider Name | Lindsey Marie Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417332578 PECOS PAC ID: 5092095570 Enrollment ID: I20200616000374 |
| Provider Name | Stephanie H Oberfoell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477896074 PECOS PAC ID: 8628356862 Enrollment ID: I20201008002556 |
| Provider Name | Tyler Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437391984 PECOS PAC ID: 3274782354 Enrollment ID: I20201119001846 |
| Provider Name | Hetal Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841283199 PECOS PAC ID: 7012958580 Enrollment ID: I20201123000973 |
| Provider Name | Raelene Ursula Schott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073107496 PECOS PAC ID: 9931508728 Enrollment ID: I20210527001502 |
| Provider Name | Catey Harwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285168237 PECOS PAC ID: 0244583052 Enrollment ID: I20210601002353 |
| Provider Name | Tom Paul Vadakara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255771689 PECOS PAC ID: 9335439496 Enrollment ID: I20210713002370 |
| Provider Name | Carlos Ortiz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306041116 PECOS PAC ID: 2163515651 Enrollment ID: I20210825001713 |
| Provider Name | Mark R Hancock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003954637 PECOS PAC ID: 7810934544 Enrollment ID: I20220126001638 |
| Provider Name | Helen Drake Iams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902987258 PECOS PAC ID: 5597704999 Enrollment ID: I20220810000368 |
| Provider Name | Muhammad Bilal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538689609 PECOS PAC ID: 1557769064 Enrollment ID: I20230106002460 |
| Provider Name | Khoa D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20230123000903 |
| Provider Name | Urooj Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710272588 PECOS PAC ID: 2163732801 Enrollment ID: I20230126002454 |
| Provider Name | Larissa Chism-buggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952460933 PECOS PAC ID: 2769579069 Enrollment ID: I20230420001620 |
| Provider Name | Robert Joseph Mcmickle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114489473 PECOS PAC ID: 3678937828 Enrollment ID: I20230907000191 |
| Provider Name | Adeola Adelayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205996907 PECOS PAC ID: 1557322641 Enrollment ID: I20240208003972 |
| Provider Name | Tiffany White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053846139 PECOS PAC ID: 4486087301 Enrollment ID: I20240208004118 |
| Provider Name | Ryan Coram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285429 PECOS PAC ID: 9032567078 Enrollment ID: I20240208004545 |
| Provider Name | Tokunbo L Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422274 PECOS PAC ID: 3173763661 Enrollment ID: I20240209000912 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20240306003543 |
| Provider Name | Catalina Villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255563268 PECOS PAC ID: 2860538691 Enrollment ID: I20240307003044 |
| Provider Name | Pauravi Rana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801010194 PECOS PAC ID: 7113279225 Enrollment ID: I20240311000001 |
Medical Clinic Of Big Sky P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Beaverhead Trail, Big Sky, MT 59716 Phone: 406-995-2797 Fax: 406-995-2965 | |
Gallatin Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Meadow Village Dr, Big Sky, MT 59716 Phone: 406-995-3111 Fax: 406-995-3011 |