David A Mcclusky, MD | |
775 Pole Line Rd W, Suite 214, Twin Falls, ID 83301-5814 | |
(208) 814-8425 | |
(208) 814-8933 |
Full Name | David A Mcclusky |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 775 Pole Line Rd W, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407896855 | NPI | - | NPPES |
003838400 | Medicaid | ID | |
020051626 | Other | ID | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | M4514 (Idaho) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
David A Mcclusky, MD Po Box 587, Twin Falls, ID 83303-0587 Ph: (208) 814-7400 | David A Mcclusky, MD 775 Pole Line Rd W, Suite 214, Twin Falls, ID 83301-5814 Ph: (208) 814-8425 |
Elliot Mcnamara Adams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 213, Twin Falls, ID 83301 Phone: 208-814-8475 | |
Dr. Ronald William Blair, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 | |
Stephen E Schmid, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 630 Addison Ave W, Twin Falls, ID 83301 Phone: 208-736-8735 Fax: 208-736-5999 | |
Mr. Donald Paul Workman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 496 D Shoup Ave W, Twin Falls, ID 83301 Phone: 208-734-1614 Fax: 208-733-6530 | |
Bruce C Mccomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 | |
Dr. David William Becker Jr., M.D., J.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 668 Ballingrude Dr, Twin Falls, ID 83301 Phone: 208-735-9288 | |
Dr. Jarom F Lamb, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 |