Dr Kenneth John Gramyk, MD | |
520 N 3rd Ave, Sandpoint, ID 83864-1507 | |
(208) 265-1020 | |
(208) 265-1278 |
Full Name | Dr Kenneth John Gramyk |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 520 N 3rd Ave, Sandpoint, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598778136 | NPI | - | NPPES |
003704700 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M6718 (Idaho) | Primary |
Entity Name | Tele911 Norcal Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720670268 PECOS PAC ID: 7214339498 Enrollment ID: O20210709002574 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth John Gramyk, MD 520 N 3rd Ave, Sandpoint, ID 83864-1507 Ph: (208) 265-1020 | Dr Kenneth John Gramyk, MD 520 N 3rd Ave, Sandpoint, ID 83864-1507 Ph: (208) 265-1020 |
Dr. Charlene Marie Dehaven, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 N 3rd Ave, Sandpoint, ID 83864 Phone: 208-265-1180 Fax: 208-265-1278 | |
Dr. Paul Gerald Rumore, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 N 3rd Ave, Sandpoint, ID 83864 Phone: 208-265-1180 Fax: 208-265-1278 | |
Dr. Vince Huntsberger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 418 North Third, Bonner General Hospital, Sandpoint, ID 83864 Phone: 208-265-1441 |