| Grand Teton Gastroenterology, Pa | |
|
2770 Cortez Ave Idaho Falls ID 83404-7590 | |
| (208) 522-4000 | |
| (208) 528-4242 |
| Full Name | Grand Teton Gastroenterology, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2770 Cortez Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Melissa Dawn Lemons (BILLING SUPERVISOR) |
| Authorized Official Contact | 2085284255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Teton Gastroenterology, Pa 2770 Cortez Ave Idaho Falls ID 83404-7590 Ph: (208) 522-4000 | Grand Teton Gastroenterology, Pa 2770 Cortez Ave Idaho Falls ID 83404-7590 Ph: (208) 522-4000 |
| NPI Number | 1154390938 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 06/07/2010 |
| Medicare PECOS PAC ID | 2860305786 |
|---|---|
| Medicare Enrollment ID | O20031107000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154390938 | NPI | - | NPPES |
| 002708500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Paul M Hendrix |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649249947 PECOS PAC ID: 5496668329 Enrollment ID: I20031112000654 |
| Provider Name | Todd A Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437128733 PECOS PAC ID: 5395779730 Enrollment ID: I20050924000052 |
| Provider Name | Ned R Warner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235175027 PECOS PAC ID: 0941283204 Enrollment ID: I20060727000177 |
| Provider Name | Larry C Evans |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669540522 PECOS PAC ID: 9133105646 Enrollment ID: I20080612000115 |
| Provider Name | Clint Edward Behrend |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538138243 PECOS PAC ID: 1850204785 Enrollment ID: I20100712000679 |
| Provider Name | Michael S Richins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497028609 PECOS PAC ID: 4981929767 Enrollment ID: I20160811000944 |
Shane G Machen, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 E 17th St Ste A, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 | |
Physician Skin Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 | |
Family First Medical Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3614 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-552-7700 Fax: 208-552-1783 | |
Imed Hrs Idaho Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 801-507-3500 | |
Neville Spinal Balance Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2145 West Broadway Street, Idaho Falls, ID 83402 Phone: 208-522-3130 | |
R.k. Arbon, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 116, Idaho Falls, ID 83404 Phone: 208-529-0575 Fax: 208-528-0223 | |
Idaho Falls Family & Sports Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3360 Washington Pkwy, Suite 1, Idaho Falls, ID 83404 Phone: 208-524-3416 Fax: 208-524-3138 |