Dr Edward Gregory Moellmer, MD | |
6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | |
(208) 267-3141 | |
(208) 267-2202 |
Full Name | Dr Edward Gregory Moellmer |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 6640 Kaniksu St, Bonners Ferry, 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 |
---|---|---|---|
1942566195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M-13338 (Idaho) | Secondary |
207Q00000X | Family Medicine | 99946 (Montana) | Secondary |
207Q00000X | Family Medicine | M-13338 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fallon Medical Complex Hospital | Baker, MT | Hospital |
Southwest Healthcare Services | Bowman, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fallon Medical Complex Inc | 0941119499 | 9 |
Southwest Healthcare Services | 3173512704 | 6 |
Entity Name | Fallon Medical Complex Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386700763 PECOS PAC ID: 0941119499 Enrollment ID: O20040614000391 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Gregory Moellmer, MD 3636 N Grand Ave, Kansas City, MO 64116-2743 Ph: (801) 231-5503 | Dr Edward Gregory Moellmer, MD 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141 |
Dr. Jennifer F Garwick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Gregory T Botkin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 | |
Chuck Lee Newhouse, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6641 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3655 | |
Dr. Troy W Geyman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6488 Chinook St, Bonners Ferry, ID 83805 Phone: 208-267-8710 | |
Dr. John Friesen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Dr. Susan J Layeux, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805 Phone: 208-267-3655 Fax: 208-267-3757 | |
Dr. Ligeia A Reinhardt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 |