Dustin Ferrel Tew, DO | |
2265 E Sunnyside Rd, Idaho Falls, ID 83404-7598 | |
(208) 542-5000 | |
Not Available |
Full Name | Dustin Ferrel Tew |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 9 Years |
Location | 2265 E Sunnyside Rd, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568821163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 20A18766 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
Portneuf Medical Center | Pocatello, ID | Hospital |
Mountain View Hospital | Idaho falls, ID | Hospital |
Teton Valley Hospital | Driggs, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 35 |
Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 35 |
Teton Radiology Madison Llc | 6901958024 | 30 |
Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 46 |
Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 35 |
Teton Radiology Madison Llc | 6901958024 | 30 |
Entity Name | North Lincoln County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730132523 PECOS PAC ID: 4789580218 Enrollment ID: O20031208000415 |
Entity Name | Memorial Hospital Of Carbon County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508900341 PECOS PAC ID: 9638067176 Enrollment ID: O20040308000403 |
Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20111018000597 |
Entity Name | Teton Radiology Madison Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407081060 PECOS PAC ID: 6901958024 Enrollment ID: O20231026001090 |
Entity Name | Teton Vascular Institute Of Pocatello A Series Of Teton Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508224379 PECOS PAC ID: 8921306846 Enrollment ID: O20231030000507 |
Entity Name | Cache Valley Vein |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831662311 PECOS PAC ID: 5294069563 Enrollment ID: O20231104000410 |
Entity Name | Teton Radiology Diagnostic A Series Of Teton Group Enterprise |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013085604 PECOS PAC ID: 1254436959 Enrollment ID: O20231221003308 |
Entity Name | Teton Radiology Caldwell |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336920420 PECOS PAC ID: 2365892742 Enrollment ID: O20240116000144 |
Mailing Address | Practice Location Address |
---|---|
Dustin Ferrel Tew, DO 11929 Briarleaf Way, San Diego, CA 92128-5254 Ph: (208) 339-4239 | Dustin Ferrel Tew, DO 2265 E Sunnyside Rd, Idaho Falls, ID 83404-7598 Ph: (208) 542-5000 |
Dr. Alan B Wray, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2600 | |
Dr. James W Taylor, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Dr. Neal J Clinger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2600 | |
Dr. Michael Sean Enslow, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
James P Edlin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Dr. Roderick Jack Willmore, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Brett Scott Talbot, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 |