Dr Cory Glen Richardson, MD | |
750 N Syringa St Ste 205, Post Falls, ID 83854-5275 | |
(208) 262-0945 | |
(208) 425-0150 |
Full Name | Dr Cory Glen Richardson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 14 Years |
Location | 750 N Syringa St Ste 205, Post Falls, 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 |
---|---|---|---|
1295050342 | NPI | - | NPPES |
1295050342 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | M-13357 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Specialty Hospital | Post falls, ID | Hospital |
Kootenai Health | Coeur d'alene, ID | Hospital |
Bonner General Hospital | Sandpoint, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Idaho Day Surgery Llc | 0840101218 | 73 |
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 | Surgical Bariatrics Northwest, Inc. P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033127659 PECOS PAC ID: 2365444874 Enrollment ID: O20070213000651 |
Entity Name | North Idaho Day Surgery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104824739 PECOS PAC ID: 0840101218 Enrollment ID: O20110401000539 |
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 Cory Glen Richardson, MD 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300 | Dr Cory Glen Richardson, MD 750 N Syringa St Ste 205, Post Falls, ID 83854-5275 Ph: (208) 262-0945 |
John L Pennings, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St, Ste 205, Post Falls, ID 83854 Phone: 208-262-0945 Fax: 208-415-0150 | |
Antoine Y Sarkis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St, Suite205, Post Falls, ID 83854 Phone: 208-415-0151 | |
Dr. Derek Thomas Dirks, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 205, Post Falls, ID 83854 Phone: 208-262-0945 Fax: 208-415-0150 | |
Olga Ivanovna Lebedevskiy, MD Surgery Medicare: Medicare Enrolled Practice Location: 750 N Syringa St Ste 205, Post Falls, ID 83854 Phone: 208-262-0945 Fax: 208-415-0150 | |
Dr. John Christopher Stackow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 190, Post Falls, ID 83854 Phone: 208-262-2328 Fax: 208-619-5057 |