Andrew Mazzone, MD | |
775 Pole Line Rd W Ste 301, Twin Falls, ID 83301-5823 | |
(208) 814-8700 | |
Not Available |
Full Name | Andrew Mazzone |
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Gender | Male |
Speciality | Urology |
Location | 775 Pole Line Rd W Ste 301, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619402286 | NPI | - | NPPES |
Entity Name | Benefis Hospitals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780968974 PECOS PAC ID: 1153235296 Enrollment ID: O20100629000044 |
Mailing Address | Practice Location Address |
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Andrew Mazzone, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Andrew Mazzone, MD 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301-5823 Ph: (208) 814-8700 |
Dr. Nikolai Sopko, M.D., PH.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 Fax: 208-933-4914 | |
Joel Hancock, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2114 Village Park Ave, Twin Falls, ID 83301 Phone: 208-733-3404 Fax: 866-939-1381 | |
Dr. Jeremy L Weiss, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 Fax: 208-933-4914 | |
Steven B. Kurtz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 | |
Edward Justin Martinez, Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 | |
Dr. Cory Scott Bates, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 301, Twin Falls, ID 83301 Phone: 208-814-8700 Fax: 208-933-4914 |