Christian T Shull, MD | |
2330 Desoto St, Idaho Falls, ID 83404-7570 | |
(208) 523-1100 | |
(208) 523-1317 |
Full Name | Christian T Shull |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 26 Years |
Location | 2330 Desoto St, Idaho 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 |
---|---|---|---|
1396899134 | NPI | - | NPPES |
P000048425 P00241090 | Other | ID | RR MEDICARE |
000010148914 | Other | ID | BLUE SHIELD OF IDAHO |
72496 | Other | ID | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | M8794 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Onesource Hospice | Pocatello, ID | Hospice |
Mountain View Hospital | Idaho falls, ID | Hospital |
Bingham Memorial Hospital | Blackfoot, ID | Hospital |
Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain View Hospital Llc | 4486562774 | 188 |
Bmh Inc | 8426149758 | 124 |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Mailing Address | Practice Location Address |
---|---|
Christian T Shull, MD 2330 Desoto St, Idaho Falls, ID 83404-7570 Ph: (208) 523-1100 | Christian T Shull, MD 2330 Desoto St, Idaho Falls, ID 83404-7570 Ph: (208) 523-1100 |
Dr. Douglas N Whatmore, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 3200 Channing Way, Ste 205, Idaho Falls, ID 83404 Phone: 208-535-4300 Fax: 208-535-4315 | |
Blake Anderson, Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2850 | |
Jordan Joseph Cormier, PA-C Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-552-4909 Fax: 208-522-6101 | |
Dr. Shawn D Speirs, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2575 | |
Mr. Craig D Scoville, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-542-9080 Fax: 208-542-9081 | |
Paul A Gerlach, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 | |
Dr. Ned R Warner, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2770 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-522-4000 Fax: 208-528-4254 |