Earl Stoddard, MD | |
147 W Chubbuck Rd, Chubbuck, ID 83202-2314 | |
(208) 238-7546 | |
(208) 237-9643 |
Full Name | Earl Stoddard |
---|---|
Gender | Male |
Speciality | Micrographic Dermatologic Surgery (mds) |
Experience | 23 Years |
Location | 147 W Chubbuck Rd, Chubbuck, 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 |
---|---|---|---|
1760400238 | NPI | - | NPPES |
807206400 | Medicaid | ID | |
P00239843 | Other | ID | RAILRAOD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | M9280 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Idaho Skin Institute Of Chubbuck | 0648658807 | 4 |
Entity Name | Stoddard Medical Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972745594 PECOS PAC ID: 0840341517 Enrollment ID: O20090620000023 |
Entity Name | Stoddard & Bingham Medical Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457912107 PECOS PAC ID: 0547590168 Enrollment ID: O20190925001142 |
Entity Name | Stoddard & Bingham Medical Of Twin Falls Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114691813 PECOS PAC ID: 7517364920 Enrollment ID: O20210928002801 |
Entity Name | Idaho Skin Institute Of Chubbuck |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184375867 PECOS PAC ID: 0648658807 Enrollment ID: O20220601000825 |
Mailing Address | Practice Location Address |
---|---|
Earl Stoddard, MD 147 W Chubbuck Rd, Chubbuck, ID 83202-2314 Ph: (208) 238-7546 | Earl Stoddard, MD 147 W Chubbuck Rd, Chubbuck, ID 83202-2314 Ph: (208) 238-7546 |
Trevor Batty, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 147 W Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-238-7546 Fax: 208-237-9643 |