| Dr Matthew C Reeck, MD | |
|
191 W 5th St, Ketchum, ID 83340-0000 | |
| (208) 725-2171 | |
| Not Available |
| Full Name | Dr Matthew C Reeck |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 28 Years |
| Location | 191 W 5th St, Ketchum, 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 |
|---|---|---|---|
| 1124022801 | NPI | - | NPPES |
| 200310490 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 01054306A (Indiana) | Secondary |
| 207N00000X | Dermatology | M11887 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 58 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew C Reeck, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Dr Matthew C Reeck, MD 191 W 5th St, Ketchum, ID 83340-0000 Ph: (208) 725-2171 |
Garrett Coman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: St. Luke's Dermatology, 191 5th Street West, Ketchum, ID 83340 Phone: 208-725-2171 | |
James Abbott, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Suite 201, Ketchum, ID 83340 Phone: 208-725-2171 Fax: 208-725-2015 | |
Steven L Karassik, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 191 W 5th St, Ketchum, ID 83340 Phone: 208-725-2171 |