Dr Suzanne Daniell, | |
1111 Baker Ave, Glacier Medical Associates, Whitefish, MT 59937-2901 | |
(406) 862-2515 | |
(406) 862-4229 |
Full Name | Dr Suzanne Daniell |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 1111 Baker Ave, Whitefish, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811966526 | NPI | - | NPPES |
1104882232 | Other | MT | GLACIER MEDICAL ASSOC NPI |
27D0411341 | Other | NH | CLIA ID#--LAB CERT |
810350909 | Other | MT | FEIN |
0108836 | Medicaid | MT | |
7550 | Other | MT | MONTANA STATE LICENSE |
000008287 | Other | MT | MEDICARE PART B GRP ID# |
110174719 | Other | MT | RAILROAD MEDICARE PIN# |
CI2709 | Other | MT | RAILROAD MEDICARE GRP # |
000007591 | Other | MT | BLUE CROSS/SHIELD PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MT7550 (Montana) | Primary |
Entity Name | State Of Montana |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356351183 PECOS PAC ID: 3870499676 Enrollment ID: O20031211000579 |
Entity Name | Logan Health - Whitefish |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396710851 PECOS PAC ID: 9335033687 Enrollment ID: O20040209001144 |
Mailing Address | Practice Location Address |
---|---|
Dr Suzanne Daniell, 1111 Baker Ave, Glacier Medical Associates, Whitefish, MT 59937-2901 Ph: (406) 862-2515 | Dr Suzanne Daniell, 1111 Baker Ave, Glacier Medical Associates, Whitefish, MT 59937-2901 Ph: (406) 862-2515 |
Dr. Elizabeth J. Brandenburg, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1600 Hospital Way, Whitefish, MT 59937 Phone: 406-863-3500 | |
Dr. H. Kenneth Mcfadden, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Hospital Way, North Valley Hospital, Whitefish, MT 59937 Phone: 406-863-3500 Fax: 406-862-7805 | |
Jason Aaron Cohen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Hospital Way, Whitefish, MT 59937 Phone: 406-863-3500 | |
Dr. Elizabeth White, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Baker Ave, Glacier Medical Associates, Whitefish, MT 59937 Phone: 406-862-2515 Fax: 406-862-4229 |