Dr Douglas Ken Andersen, DO | |
777 Hospital Way, Pocatello, ID 83201-5175 | |
(208) 239-1720 | |
(208) 239-1726 |
Full Name | Dr Douglas Ken Andersen |
---|---|
Gender | Male |
Speciality | Medical Oncology |
Experience | 10 Years |
Location | 777 Hospital Way, 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 |
---|---|---|---|
1730599598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 6352 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
Caribou Memorial Hospital | Soda springs, ID | Hospital |
Nell J Redfield Memorial Hospital | Malad, ID | Hospital |
Bear Lake Memorial Hospital | Montpelier, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pocatello Health Services Llc | 6608927637 | 153 |
Caribou Medical Center, Inc | 7618365701 | 21 |
Entity Name | Pocatello Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Entity Name | Caribou Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20220314000619 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Ken Andersen, DO 10109 E. 79th Street, Tulsa, OK 74133 Ph: (918) 286-5000 | Dr Douglas Ken Andersen, DO 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 239-1720 |
Shawn Allman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1417 | |
Jacob Delarosa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Jarrah Alfadhli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Aditya Singh, Internal Medicine Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Sherwin D'souza, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2302 E. Terry Street, Pocatello, ID 83201 Phone: 208-235-5910 Fax: 208-235-5920 | |
Linda L. Babbitt, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave, Suite 203, Pocatello, ID 83201 Phone: 208-232-5902 | |
Ryan Bradley Longmore, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 777 Hospital Way # 101, Pocatello, ID 83201 Phone: 208-234-2001 Fax: 208-232-2195 |