Dr Sue Castleman, DO | |
740 Mckinley Ave, Kellogg, ID 83837-2693 | |
(208) 783-1267 | |
(208) 786-4471 |
Full Name | Dr Sue Castleman |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 740 Mckinley Ave, Kellogg, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528260429 | NPI | - | NPPES |
0262334 | Other | ID | WASHINGTON L&I |
808660700 | Medicaid | ID | |
S6495 | Other | ID | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | O-0562 (Idaho) | Primary |
Entity Name | North Sonoma County Health Care District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251 |
Entity Name | West Coast Medical Care Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861888331 PECOS PAC ID: 9133430069 Enrollment ID: O20150618003096 |
Mailing Address | Practice Location Address |
---|---|
Dr Sue Castleman, DO 740 Mckinley Ave, Kellogg, ID 83837-2693 Ph: (208) 783-1267 | Dr Sue Castleman, DO 740 Mckinley Ave, Kellogg, ID 83837-2693 Ph: (208) 783-1267 |
Benjamin Collins Krasin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Jacobs Gulch Rd, Kellogg, ID 83837 Phone: 208-784-1221 Fax: 208-784-0961 | |
Frederick R Haller, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 208-786-4471 |