Daniel Lilligren, MD | |
2280 E 25th St, Idaho Falls, ID 83404-7542 | |
(208) 227-2100 | |
(208) 227-2362 |
Full Name | Daniel Lilligren |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 8 Years |
Location | 2280 E 25th 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 |
---|---|---|---|
1467972547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 94-09347 (Kansas) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | M-15643 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Idaho Behavioral Health Services Llc | 7315184272 | 10 |
Entity Name | Idaho Behavioral Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831435163 PECOS PAC ID: 7315184272 Enrollment ID: O20130513000516 |
Mailing Address | Practice Location Address |
---|---|
Daniel Lilligren, MD Po Box 742358, Atlanta, GA 30374-2358 Ph: () - | Daniel Lilligren, MD 2280 E 25th St, Idaho Falls, ID 83404-7542 Ph: (208) 227-2100 |
Muad Khallad, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-970-4091 | |
Bradford L Talcott, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2353 Coronado St, Idaho Falls, ID 83404 Phone: 208-552-4823 | |
Dr. Ronald M. Zohner, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1842 1st St, Idaho Falls, ID 83401 Phone: 208-552-5707 Fax: 208-552-5709 | |
Dr. Debra S Gorin, MD PC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1361 Cambridge Dr, Idaho Falls, ID 83401 Phone: 208-535-8549 Fax: 208-528-8109 | |
Ms. Susan Lynn Bunnell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2280 E 25th Street, Idaho Falls, ID 83404 Phone: 208-227-2295 Fax: 208-227-2364 | |
Kwadwo Antwi Saka, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404 Phone: 208-419-3002 |