Dr Michael Stephen Kornish, MD | |
107 6th Ave Sw, Ronan, MT 59864-2634 | |
(406) 676-4441 | |
(406) 676-0835 |
Full Name | Dr Michael Stephen Kornish |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 107 6th Ave Sw, Ronan, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558449124 | NPI | - | NPPES |
43367 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7286 (Montana) | Secondary |
207P00000X | Emergency Medicine | 7286 (Montana) | Primary |
Entity Name | St Lukes Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306911169 PECOS PAC ID: 5496659567 Enrollment ID: O20031121000276 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Stephen Kornish, MD 111 Apple House Ln, Missoula, MT 59802-3324 Ph: (406) 493-6318 | Dr Michael Stephen Kornish, MD 107 6th Ave Sw, Ronan, MT 59864-2634 Ph: (406) 676-4441 |
Ms. Keri J Thorn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 107 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-4441 Fax: 406-676-0835 | |
Dr. Phillip S Anuta, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 107 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-4441 Fax: 406-676-0835 | |
Dr. Ronald D Dean, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-4441 Fax: 406-676-4441 | |
Dr. Shane Alan Hill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-4441 | |
Mark D Harding, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 107 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-4441 Fax: 406-676-0835 | |
Aubree Ann Ruzkowski, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 107 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-4441 Fax: 406-676-0835 | |
Dr. Joan Abi Nutt, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 6th Ave. Sw, Ronan, MT 59864 Phone: 406-676-4441 Fax: 406-676-0835 |