Dr Mark R Keane, MD | |
415 6th St, Lewiston, ID 83501-2431 | |
(208) 750-7474 | |
Not Available |
Full Name | Dr Mark R Keane |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 30 Years |
Location | 415 6th St, Lewiston, 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 |
---|---|---|---|
1427044643 | NPI | - | NPPES |
7088867 | Medicaid | WA | |
8239543 | Medicaid | WA | |
805433500 | Medicaid | ID | |
128039 | Other | WA | L & I WA |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Gritman Medical Center | Moscow, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Joseph Hospital Llc | 8325325806 | 43 |
St Joseph Hospital Llc | 8325325806 | 43 |
Entity Name | St Joseph Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790816262 PECOS PAC ID: 2961497235 Enrollment ID: O20041220001093 |
Entity Name | St Joseph Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark R Keane, MD 625 6th Ave, Lewiston, ID 83501-2424 Ph: (208) 750-7464 | Dr Mark R Keane, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 750-7474 |
Susanne Choby, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5700 | |
Dr. Arnold Kadrmas, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Dr. William C Mankel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Thadeus B Koontz, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-750-7462 | |
Jean K Thomas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7474 Fax: 208-799-5729 | |
Dr. Natasha Vanessa Demattos, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3326 4th St, Suite 6, Lewiston, ID 83501 Phone: 208-746-2223 |