Dr David Charles Simon, MD | |
2035 E 17th St, Idaho Falls, ID 83404-6430 | |
(208) 535-4420 | |
(208) 524-1045 |
Full Name | Dr David Charles Simon |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 34 Years |
Location | 2035 E 17th St, Idaho Falls, Idaho |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518908581 | NPI | - | NPPES |
DI197 | Other | ID | BLUE CROSS |
20504 | Other | ID | BLUE SHIELD |
003919400 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 55495 (Tennessee) | Secondary |
208100000X | Physical Medicine & Rehabilitation | M-6825 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
St. Patrick Hospital | Missoula, MT | Hospital |
Entity Name | St Joseph Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
Entity Name | Lifepoint Rehab Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598492522 PECOS PAC ID: 3678932043 Enrollment ID: O20230703000479 |
Mailing Address | Practice Location Address |
---|---|
Dr David Charles Simon, MD 2035 E 17th St, Idaho Falls, ID 83404-6430 Ph: (208) 535-4420 | Dr David Charles Simon, MD 2035 E 17th St, Idaho Falls, ID 83404-6430 Ph: (208) 535-4420 |
Mrs. Tiffany Heather Maxwell, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2037 E 17th St, Idaho Falls, ID 83404 Phone: 208-529-3355 Fax: 208-529-9581 | |
Dr. Andrew D Cooper, D.O Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2635 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4343 Fax: 208-535-4344 | |
Abby Lucile Jensen, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3715 Woodking Dr, Idaho Falls, ID 83404 Phone: 208-529-2255 | |
Troy Jay Bushman, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 306, Idaho Falls, ID 83404 Phone: 208-535-4400 Fax: 208-535-4404 | |
Curtis Leslie Jacobson, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3784 Summit Run Trl, Idaho Falls, ID 83404 Phone: 208-731-9896 | |
Dr. Sarah Vlach, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2860 Channing Way, Suite 112, Idaho Falls, ID 83404 Phone: 208-535-4343 Fax: 208-535-4344 | |
Tyler Hedin, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 306, Idaho Falls, ID 83404 Phone: 208-535-4400 Fax: 208-535-4404 |