Alan Jake Poulter, MD | |
2375 E Sunnyside Rd, Ste J, Idaho Falls, ID 83404-8280 | |
(208) 522-7246 | |
(208) 529-2620 |
Full Name | Alan Jake Poulter |
---|---|
Gender | Male |
Speciality | Interventional Pain Management |
Experience | 20 Years |
Location | 2375 E Sunnyside Rd, Idaho Falls, 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 |
---|---|---|---|
1912046913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2004-0463 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Brio Idaho Home Health Llc | Idaho falls, ID | Home health agency |
Mountain View Hospital | Idaho falls, ID | Hospital |
Bingham Memorial Hospital | Blackfoot, ID | Hospital |
Lost Rivers Medical Center | Arco, ID | Hospital |
Madison Memorial Hospital | Rexburg, ID | Hospital |
Portneuf Medical Center | Pocatello, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain View Hospital Llc | 4486562774 | 188 |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Entity Name | Bmh Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
Entity Name | North Canyon Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
Entity Name | Pain & Spine Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902366834 PECOS PAC ID: 5395072946 Enrollment ID: O20190806001323 |
Mailing Address | Practice Location Address |
---|---|
Alan Jake Poulter, MD 2375 E Sunnyside Rd, Ste J, Idaho Falls, ID 83404-8280 Ph: (208) 522-7246 | Alan Jake Poulter, MD 2375 E Sunnyside Rd, Ste J, Idaho Falls, ID 83404-8280 Ph: (208) 522-7246 |
Dr. Don Weber, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269 | |
Dr. Marcus Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Jay M Tingey, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269 | |
Dr. Christian D Monson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6775 | |
Daric J Russell, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3385 Potomac Way, Idaho Falls, ID 83404 Phone: 208-522-7246 Fax: 208-529-2620 | |
Dr. Daniel Philip Wiser Smith, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3385 Potomac Way, Idaho Falls, ID 83404 Phone: 208-522-7246 | |
David Paul Murray, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 970-215-8335 |