Mr Benjamin H Feldman, MD | |
625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301-4270 | |
(208) 814-7350 | |
(208) 732-8508 |
Full Name | Mr Benjamin H Feldman |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 16 Years |
Location | 625 Pole Line Rd W Ste 2b, Twin 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 |
---|---|---|---|
1588829402 | NPI | - | NPPES |
M-17665 | Medicaid | ID | |
467998 | Medicaid | AZ | |
57030 | Other | AZ | AZ DEPARTMENT OF HEALTH SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 57030 (Arizona) | Secondary |
207Y00000X | Otolaryngology | 53719-020 (Wisconsin) | Secondary |
207Y00000X | Otolaryngology | M-17665 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic Llc | 1052217478 | 274 |
Entity Name | St Lukes Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Mailing Address | Practice Location Address |
---|---|
Mr Benjamin H Feldman, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Mr Benjamin H Feldman, MD 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301-4270 Ph: (208) 814-7350 |
Dr. Julian O Nicholson, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 730 N College Rd, Suite B, Twin Falls, ID 83301 Phone: 208-814-7350 Fax: 208-732-8508 | |
Dr. Russell Weldon Mayes, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 730 N College Rd, Suite B, Twin Falls, ID 83301 Phone: 208-814-7350 Fax: 208-732-8508 | |
Dr. Kylan D Peterson, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 730 N College Rd, Suite B, Twin Falls, ID 83301 Phone: 208-814-7350 Fax: 208-732-8508 |