Dr Beth Ann Martin, MD | |
1090 W Park Pl, Coeur D Alene, ID 83814-2785 | |
(208) 215-2005 | |
Not Available |
Full Name | Dr Beth Ann Martin |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1090 W Park Pl, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336150267 | NPI | - | NPPES |
000010028237 | Other | ID | REGENCE BLUE SHIELD |
805743100 | Medicaid | ID | |
J3961 | Other | ID | BLUE CROSS OF IDAHO |
8267098 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M7951 (Idaho) | Primary |
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 Beth Ann Martin, MD Po Box 1387, Hayden, ID 83835-1387 Ph: (208) 415-0299 | Dr Beth Ann Martin, MD 1090 W Park Pl, Coeur D Alene, ID 83814-2785 Ph: (208) 215-2005 |
Dr. Thomas R Rau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Terence Earl Neff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Dr. Brook Yuknis Lang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5185 Fax: 208-625-5892 | |
Dr. Mary Jo Shaw, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Dr. Cheri Kathleen Savage, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Christy L Riley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814 Phone: 208-292-5437 Fax: 208-292-5437 |