Douglas Scott Fellows, DC | |
122 N State St, Preston, ID 83263-1143 | |
(208) 852-0083 | |
Not Available |
Full Name | Douglas Scott Fellows |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 11 Years |
Location | 122 N State St, Preston, 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 |
---|---|---|---|
1215326475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-1615 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fellows Chiropractic Llc | 5496181216 | 2 |
Provider Name | Fellows Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104291657 PECOS PAC ID: 5496181216 Enrollment ID: O20200213002757 |
Mailing Address | Practice Location Address |
---|---|
Douglas Scott Fellows, DC 122 N State St, Preston, ID 83263-1143 Ph: (208) 852-0083 | Douglas Scott Fellows, DC 122 N State St, Preston, ID 83263-1143 Ph: (208) 852-0083 |
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