Dr Ty A Salness, MD | |
845 W Center St, Suite 200, Pocatello, ID 83204-4205 | |
(208) 232-6260 | |
(208) 232-6259 |
Full Name | Dr Ty A Salness |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 845 W Center St, 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 |
---|---|---|---|
1831132232 | NPI | - | NPPES |
8073119 | Medicaid | ID | |
B5569 | Other | ID | BLUE CROSS-POCATELLO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M9343 (Idaho) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | M9343 (Idaho) | Secondary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Dr Ty A Salness, MD Po Box 2377, Pocatello, ID 83206-2377 Ph: (208) 232-7862 | Dr Ty A Salness, MD 845 W Center St, Suite 200, Pocatello, ID 83204-4205 Ph: (208) 232-6260 |
Shawn Allman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1417 | |
Jacob Delarosa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Jarrah Alfadhli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Aditya Singh, Internal Medicine Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Sherwin D'souza, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2302 E. Terry Street, Pocatello, ID 83201 Phone: 208-235-5910 Fax: 208-235-5920 | |
Linda L. Babbitt, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave, Suite 203, Pocatello, ID 83201 Phone: 208-232-5902 | |
Ryan Bradley Longmore, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 777 Hospital Way # 101, Pocatello, ID 83201 Phone: 208-234-2001 Fax: 208-232-2195 |