Dr Joel Andrew Carlson, DO | |
777 Hospital Way, Bldg A Suite 300, Pocatello, ID 83201-5176 | |
(208) 233-1720 | |
(208) 239-3403 |
Full Name | Dr Joel Andrew Carlson |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 30 Years |
Location | 777 Hospital Way, Pocatello, 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 |
---|---|---|---|
1144200916 | NPI | - | NPPES |
S6109 | Other | ID | BLUE CROSS |
000010156981 | Other | ID | REGENCE-BLUE SHIELD |
807508700 | Medicaid | ID | |
546490 | Other | ID | DESERET MUTUAL |
P00355281 | Other | ID | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 3140 (Iowa) | Secondary |
207V00000X | Obstetrics & Gynecology | O-0407 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic - Wood River Llc | 3173783818 | 54 |
Entity Name | St Lukes Clinic - Wood River Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
Mailing Address | Practice Location Address |
---|---|
Dr Joel Andrew Carlson, DO 777 Hospital Way, Bldg A Suite 300, Pocatello, ID 83201-5176 Ph: (208) 233-1720 | Dr Joel Andrew Carlson, DO 777 Hospital Way, Bldg A Suite 300, Pocatello, ID 83201-5176 Ph: (208) 233-1720 |
Christine E Black, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 S 11th Ave Ste 204, Pocatello, ID 83201 Phone: 208-232-3655 | |
Taylor Erin Augustine, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave Ste 204b, Pocatello, ID 83201 Phone: 208-232-3303 Fax: 855-227-6711 | |
Carole E Shelley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Suite 300, Pocatello, ID 83201 Phone: 208-239-3461 Fax: 208-239-3425 | |
Angela Marie Teige, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 S 11th Ave Ste 204, Pocatello, ID 83201 Phone: 208-232-3355 | |
Dr. Cheryl M Callaghan, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 500 S 11th Ave, Suite 201, Pocatello, ID 83201 Phone: 208-233-8000 Fax: 208-233-2220 | |
Dr. Kim Leon Cox, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Bldg A Suite 300, Pocatello, ID 83201 Phone: 208-232-8792 Fax: 208-232-8793 |