Dr Alicia Eve Ogram, MD | |
980 W Ironwood Dr Ste 1, Coeur D Alene, ID 83814-2617 | |
(208) 625-4333 | |
(208) 625-4334 |
Full Name | Dr Alicia Eve Ogram |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 17 Years |
Location | 980 W Ironwood Dr Ste 1, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275792525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | M13795 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kootenai Health | Coeur d'alene, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kootenai Health Inc | 1355792276 | 330 |
Entity Name | Kootenai Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
Entity Name | Kootenai Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
Mailing Address | Practice Location Address |
---|---|
Dr Alicia Eve Ogram, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5085 | Dr Alicia Eve Ogram, MD 980 W Ironwood Dr Ste 1, Coeur D Alene, ID 83814-2617 Ph: (208) 625-4333 |
Benjamin Carl Ringger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2288 N Merritt Creek Loop, Coeur D Alene, ID 83814 Phone: 208-665-7546 Fax: 208-667-4607 | |
Charles Hughes Cardarelli, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2271 W Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-667-2485 Fax: 208-667-2487 | |
Dr. Ashley Anne Hamstra, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 421 E Lakeside Ave Ste 105, Coeur D Alene, ID 83814 Phone: 208-277-9704 Fax: 208-277-9704 | |
Dustin Larsen, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2199 N Merrit Crk Loop, Coeur D Alene, ID 83814 Phone: 208-665-7546 | |
Dr. Hilary H Hill, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Riverstone Dr, Coeur D Alene, ID 83814 Phone: 208-770-2822 Fax: 208-770-2911 | |
Dr. Kate Khorsand, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr Ste 1, Coeur D Alene, ID 83814 Phone: 208-625-4333 Fax: 208-625-4334 |