Brian W Fortuin, MD | |
775 Pole Line Rd W, Suite 302, Twin Falls, ID 83301-5814 | |
(208) 814-8600 | |
(208) 814-8942 |
Full Name | Brian W Fortuin |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 775 Pole Line Rd W, 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 |
---|---|---|---|
1740221191 | NPI | - | NPPES |
P00029395 | Other | ID | RR MEDICARE |
805179600 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M7263 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Idaho Home Health & Hospice | Twin falls, ID | Home health agency |
Visions Home Health & Visions Home Care Llc | Twin falls, ID | Home health agency |
Horizon Home Health East | Twin falls, ID | Home health agency |
Auburn Crest Home Health | Twin falls, ID | Home health agency |
Auburn Crest Hospice Treasure Valley, Llc | Boise, ID | Hospice |
Hospice Visions | Twin falls, ID | Hospice |
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Madison Memorial Hospital | Rexburg, ID | Hospital |
St Luke's Jerome | Jerome, ID | Hospital |
North Canyon Medical Center | Gooding, ID | Hospital |
St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic Llc | 1052217478 | 274 |
Madison Memorial Hospital | 4183949522 | 15 |
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 |
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 | Madison Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346643038 PECOS PAC ID: 4183949522 Enrollment ID: O20150206000933 |
Entity Name | Magic Valley Sleep Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992494389 PECOS PAC ID: 8527950161 Enrollment ID: O20231012003692 |
Mailing Address | Practice Location Address |
---|---|
Brian W Fortuin, MD Po Box 587, Twin Falls, ID 83303-0587 Ph: (208) 814-7400 | Brian W Fortuin, MD 775 Pole Line Rd W, Suite 302, Twin Falls, ID 83301-5814 Ph: (208) 814-8600 |
Joseph Murdock Strobel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 | |
Dr. William Stephen Lefler Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 746 N College Rd Ste A, Twin Falls, ID 83301 Phone: 208-814-7230 | |
Nagraj Narasimhan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 | |
Dr. Timothy Adam Enders, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 | |
Dr. Joseph Ezer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W Ste 315, Twin Falls, ID 83301 Phone: 208-814-8750 | |
John A Baker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 302, Twin Falls, ID 83301 Phone: 208-814-8600 Fax: 208-814-8942 | |
Krystin Nicole Hedeen, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 |