Dr Derek A Khorsand, MD | |
Kootenai Health, 2003 Kootenai Way, Coeur D'alene, ID 83814 | |
(208) 625-6361 | |
Not Available |
Full Name | Dr Derek A Khorsand |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | Kootenai Health, Coeur D'alene, 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 |
---|---|---|---|
1598176448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | M-15066 (Idaho) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | M-15066 (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 |
Benewah Community Hospital | 1850200700 | 28 |
Boundary Community Hospital | 3274583406 | 20 |
Radiology Associates Of North Idaho Pa | 4385635150 | 22 |
Entity Name | Radiology Associates Of North Idaho Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851384416 PECOS PAC ID: 4385635150 Enrollment ID: O20040520000648 |
Entity Name | Bonner General Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014 |
Entity Name | Benewah Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386632180 PECOS PAC ID: 1850200700 Enrollment ID: O20040927000265 |
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 | Boundary Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801896683 PECOS PAC ID: 3274583406 Enrollment ID: O20050126000312 |
Entity Name | Benewah Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1548320435 PECOS PAC ID: 1850200700 Enrollment ID: O20061104000136 |
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 Derek A Khorsand, MD Kootenai Outpatient Imaging, 700 W Ironwood Dr, Suite 175, Coeur D'alene, ID 83814 Ph: (208) 625-6300 | Dr Derek A Khorsand, MD Kootenai Health, 2003 Kootenai Way, Coeur D'alene, ID 83814 Ph: (208) 625-6361 |