Benjamin Lawson, | |
3055 N Reserve St Ste D, Missoula, MT 59808-1395 | |
(406) 327-7000 | |
(406) 329-1927 |
Full Name | Benjamin Lawson |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 9 Years |
Location | 3055 N Reserve St Ste D, Missoula, Montana |
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 |
---|---|---|---|
1154717775 | NPI | - | NPPES |
K160843 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | MED-PHYS-LIC-126508 (Montana) | Primary |
207RN0300X | Internal Medicine - Nephrology | 172648 (Alaska) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc Missoula | Missoula, MT | Dialysis facility |
St. Patrick Hospital | Missoula, MT | Hospital |
Providence St Joseph Medical Center | Polson, MT | Hospital |
Community Hospital Of Anaconda | Anaconda, MT | Hospital |
Clark Fork Valley Hospital | Plains, MT | Hospital |
St Luke Community Hospital | Ronan, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence St Joseph Medical Center | 0446230247 | 41 |
Providence Health And Services Mt | 6608786306 | 285 |
Entity Name | Providence Health & Services Mt |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Entity Name | Providence St Joseph Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Lawson, Po Box 12, Liberty Lake, WA 99019-0012 Ph: (866) 747-2455 | Benjamin Lawson, 3055 N Reserve St Ste D, Missoula, MT 59808-1395 Ph: (406) 327-7000 |
Mr. George Bandow, MD Nephrology Medicare: Medicare Enrolled Practice Location: 500 W Broadway St Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Simone Musco, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Rolf H O Holle, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1782 Elison Ln Unit 3, Missoula, MT 59802 Phone: 406-544-1871 | |
John David Anthony Lakatua, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 500 West Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 | |
Mr. Curtis G Wickre, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, 4th Floor, Missoula, MT 59802 Phone: 406-327-1900 | |
Dr. Charlotte Nelson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-327-1613 | |
Annie C. Dong, M.D., M.P.H. Nephrology Medicare: Medicare Enrolled Practice Location: 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804 Phone: 406-327-4646 Fax: 406-327-4649 |