Dr Kelsi Jeanette Jore Swanson, MD | |
2819 Great Northern Loop Ste 200, Missoula, MT 59808-1750 | |
(406) 542-7525 | |
(406) 829-0661 |
Full Name | Dr Kelsi Jeanette Jore Swanson |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 2819 Great Northern Loop Ste 200, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164928271 | NPI | - | NPPES |
15957727 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD481377 (Pennsylvania) | Secondary |
208600000X | Surgery | 73654 (Montana) | Primary |
Entity Name | Allegheny Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelsi Jeanette Jore Swanson, MD Po Box 7817, Missoula, MT 59807-7817 Ph: (406) 542-7525 | Dr Kelsi Jeanette Jore Swanson, MD 2819 Great Northern Loop Ste 200, Missoula, MT 59808-1750 Ph: (406) 542-7525 |
Charles J Swannack, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway, Missoula, MT 59802 Phone: 406-542-7525 Fax: 406-829-0661 | |
Dr. Vern Hicks Horton, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2827 Fort Missoula Rd, Community Medical Center, Missoula, MT 59804 Phone: 406-728-4100 Fax: 406-327-4502 | |
Jason Richard Hurd, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-329-5615 Fax: 406-329-2791 | |
Lori A Grimsley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-542-7525 Fax: 406-542-7592 | |
Anne Manktelow, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Road, Ste 306 Pediatric Surgery Of Montana, Missoula, MT 59804 Phone: 406-327-4730 | |
Deron Ludwig, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St Fl 5, Missoula, MT 59802 Phone: 406-329-5866 Fax: 406-329-5864 |