Dr Mark Edward Hernandez, MD | |
302 S 1st Ave, Sandpoint, ID 83864-1258 | |
(208) 263-5109 | |
(208) 263-5112 |
Full Name | Dr Mark Edward Hernandez |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 302 S 1st Ave, Sandpoint, 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 |
---|---|---|---|
1457416224 | NPI | - | NPPES |
002717200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M6092 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bonner General Hospital | Sandpoint, ID | Hospital |
Boundary Community Hospital | Bonners ferry, ID | Hospital |
Kootenai Health | Coeur d'alene, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sandpoint Family Medicine Pa | 5395658967 | 2 |
Entity Name | Sandpoint Family Medicine Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740493832 PECOS PAC ID: 5395658967 Enrollment ID: O20031110000494 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Edward Hernandez, MD 290 Ponder Point Dr, Sandpoint, ID 83864-8657 Ph: (208) 263-1588 | Dr Mark Edward Hernandez, MD 302 S 1st Ave, Sandpoint, ID 83864-1258 Ph: (208) 263-5109 |
Daniel Jack Meulenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave Ste 101, Sandpoint, ID 83864 Phone: 208-263-1435 Fax: 208-263-7812 | |
Patricia Jane Hennessy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1205 Highway 2, Suite 301, Sandpoint, ID 83864 Phone: 208-265-9909 Fax: 208-265-5351 | |
Dr. Timothy Ray Bonine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 Ponderosa Dr, Suite 103, Sandpoint, ID 83864 Phone: 208-263-9545 Fax: 208-263-9539 | |
Tracey Koch, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 N Second Ave, Suite 100, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
W Hugh Leedy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1327 Superior St, Sandpoint, ID 83864 Phone: 208-263-1718 Fax: 208-263-7198 | |
Dr. Steven C Puffer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1327 Superior St, Sandpoint, ID 83864 Phone: 208-263-7101 Fax: 208-263-7198 | |
Dr. Frazier King, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2023 Sandpoint West Dr, Sandpoint, ID 83864 Phone: 208-255-1523 Fax: 208-255-7894 |