Dr Robert Michael Kennedy, MD | |
777 Hospital Way, G15, Pocatello, ID 83201-5175 | |
(208) 239-2722 | |
(208) 239-3759 |
Full Name | Dr Robert Michael Kennedy |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 777 Hospital Way, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043219694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | M4241 (Idaho) | Primary |
Entity Name | Pocatello Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
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Dr Robert Michael Kennedy, MD 777 Hospital Way, G15, Pocatello, ID 83201-5175 Ph: (208) 239-2722 | Dr Robert Michael Kennedy, MD 777 Hospital Way, G15, Pocatello, ID 83201-5175 Ph: (208) 239-2722 |
Dr. Kathleen Anne Erwin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2571 Fax: 208-239-3665 | |
Dr. Mary Elizabeth Gerard, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave Ste B4, Pocatello, ID 83201 Phone: 208-232-2233 Fax: 208-232-2299 | |
Dr. William Hazle, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave, Pocatello, ID 83201 Phone: 972-420-8345 Fax: 972-420-7770 | |
Richard D Karem, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2722 Fax: 208-239-3759 | |
Dr. Linda E Carter, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 421 Memorial Dr, Pocatello, ID 83201 Phone: 208-234-7900 |