| Dr William Joseph Hammond, MD, MSC | |
|
3200 Channing Way Ste 303, Idaho Falls, ID 83404-7546 | |
| (208) 535-4515 | |
| (208) 535-4565 |
| Full Name | Dr William Joseph Hammond |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 3200 Channing Way Ste 303, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346582137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 9361477 (Idaho) | Primary |
| Entity Name | Idaho Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902841893 PECOS PAC ID: 2163430943 Enrollment ID: O20070208000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Joseph Hammond, MD, MSC Po Box 277381, Atlanta, GA 30384-4072 Ph: () - | Dr William Joseph Hammond, MD, MSC 3200 Channing Way Ste 303, Idaho Falls, ID 83404-7546 Ph: (208) 535-4515 |
Warren E Albrecht, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave Ste 200, Idaho Falls, ID 83404 Phone: 208-528-1000 Fax: 208-528-1900 | |
Brad D Smith, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2805 Valencia Dr, Idaho Falls, ID 83404 Phone: 208-552-3184 Fax: 208-525-6151 | |
Dr. Gregory R. Hodson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2225 Teton Plz, Ste B, Idaho Falls, ID 83404 Phone: 208-524-4660 Fax: 208-524-4617 | |
Chaheyla St Aubin, DO Surgery Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4000 | |
Laurie M Kuestner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2860 Channing Way Ste 220, Idaho Falls, ID 83404 Phone: 208-800-6155 Fax: 208-800-6158 | |
Dr. John Garth Oliver Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2327 Coronado St Fl 2, Idaho Falls, ID 83404 Phone: 208-528-1750 | |
Dr. Michael Kirk Moore Jr., M.D., P.C. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 213, Idaho Falls, ID 83404 Phone: 208-552-1406 Fax: 208-552-1416 |