Charles Malcolm Clair Jr, MD | |
1071 Renee Ave, Pocatello, ID 83201-2508 | |
(208) 252-5602 | |
(208) 269-7094 |
Full Name | Charles Malcolm Clair Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 1071 Renee Ave, Pocatello, 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 |
---|---|---|---|
1003012204 | NPI | - | NPPES |
11479847 | Other | AAMC ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | M-10525 (Idaho) | Secondary |
207Q00000X | Family Medicine | M-10525 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Minidoka Memorial Hospital | Rupert, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minidoka Memorial Hospital | 7315908894 | 20 |
Entity Name | Steele Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851403265 PECOS PAC ID: 9436131265 Enrollment ID: O20040604000056 |
Entity Name | Minidoka Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134333495 PECOS PAC ID: 7315908894 Enrollment ID: O20041019001205 |
Entity Name | Minidoka Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
Mailing Address | Practice Location Address |
---|---|
Charles Malcolm Clair Jr, MD 1322 Stoneridge Dr, Pocatello, ID 83201-5043 Ph: (208) 436-0481 | Charles Malcolm Clair Jr, MD 1071 Renee Ave, Pocatello, ID 83201-2508 Ph: (208) 252-5602 |
Shayna Larae Harding, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201 Phone: 208-232-1000 Fax: 208-232-1006 | |
Cody E Patterson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 151 N 4th Ave, Pocatello, ID 83201 Phone: 208-269-7147 Fax: 208-416-6522 | |
Dr. Bradley Yamashita Beaufort, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-4700 Fax: 208-282-4696 | |
Ryan Hudgens, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Shaylor Bringhurst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Dr. Sharla Clark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201 Phone: 208-238-1000 Fax: 208-238-0009 | |
Marie Elwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 |