Dr Kelly Page Palmer, DO | |
700 East Alice Street, Blackfoot, ID 83221-0400 | |
(208) 785-8517 | |
(208) 785-8516 |
Full Name | Dr Kelly Page Palmer |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 41 Years |
Location | 700 East Alice Street, Blackfoot, 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 |
---|---|---|---|
1184780694 | NPI | - | NPPES |
003398400 | Medicaid | ID | |
0033991 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | O-144 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Canvi Behavioral Health Pllc | 0941692073 | 10 |
Entity Name | Portneuf Valley Family Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174629976 PECOS PAC ID: 6901807718 Enrollment ID: O20070122000564 |
Entity Name | Shoshone Bannock Tribes Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801949763 PECOS PAC ID: 5496804429 Enrollment ID: O20100330001318 |
Entity Name | Canvi Behavioral Health Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144984873 PECOS PAC ID: 0941692073 Enrollment ID: O20220121000627 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly Page Palmer, DO Po Box 400, 700 East Alice, Blackfoot, ID 83221-0400 Ph: (208) 785-8517 | Dr Kelly Page Palmer, DO 700 East Alice Street, Blackfoot, ID 83221-0400 Ph: (208) 785-8517 |
Andrew L Olnes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-1200 Fax: 208-785-8516 | |
Jdee Ryan Wilson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 700 E Alice St, State Hospital South, Blackfoot, ID 83221 Phone: 208-785-1200 Fax: 208-785-8516 |