Dr Bruce K Miewald, MD | |
2199 Ironwood Center Drive, Coeur D Alene, ID 83814 | |
(208) 625-4888 | |
(208) 625-5734 |
Full Name | Dr Bruce K Miewald |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2199 Ironwood Center Drive, 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 |
---|---|---|---|
1467528984 | NPI | - | NPPES |
003816100 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | M5751 (Idaho) | Primary |
Entity Name | Valley Medical Facilities, Inc. |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1528101458 PECOS PAC ID: 8325956592 Enrollment ID: O20040301000431 |
Entity Name | Upmc Behavioral Health Of The Alleghenies |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063587103 PECOS PAC ID: 6103733068 Enrollment ID: O20110110000792 |
Mailing Address | Practice Location Address |
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Dr Bruce K Miewald, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000 | Dr Bruce K Miewald, MD 2199 Ironwood Center Drive, Coeur D Alene, ID 83814 Ph: (208) 625-4888 |
Dr. Christin J Mcintyre, MD, PHD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1250 W Ironwood Dr Ste 303, Coeur D Alene, ID 83814 Phone: 503-276-1295 Fax: 234-444-5496 | |
John Michael Thurston, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 Northwest Blvd Ste 200, Coeur D Alene, ID 83814 Phone: 208-225-8642 Fax: 208-795-8079 | |
Dr. James Y. Lea, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2022 N Government Way, Coeur D Alene, ID 83814 Phone: 208-667-5536 Fax: 208-765-1194 | |
Dr. Charles William Britt Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Dr. Michah Brasseur, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 Fax: 208-625-5101 | |
Lizl Maureen Lasky, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814 Phone: 208-625-5100 Fax: 208-625-5101 | |
Matthew Robert Womeldorff, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814 Phone: 208-625-5100 Fax: 208-625-5101 |