Emma Stayduhar, is a
Physical Medicine & Rehabilitation physician based in Kellogg, Idaho. Emma Stayduhar is licensed to practice in Idaho (license number PT3839) and her current practice location is 25 Jacobs Gulch Rd, Kellogg, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 784-4603.
NPI number for Emma Stayduhar is 1164903076 and her current mailing address is 25 Jacobs Gulch Rd, Kellogg, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164903076.
Physician's Profile
| Full Name | Emma Stayduhar |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 25 Jacobs Gulch Rd, Kellogg, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164903076
- Provider Enumeration Date: 08/28/2018
- Last Update Date: 08/28/2018
Medical Identifiers
Medical identifiers for Emma Stayduhar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164903076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PT3839 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emma Stayduhar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Emma Stayduhar,
25 Jacobs Gulch Rd,
Kellogg, ID 83837-2023
Ph: () - | Emma Stayduhar,
25 Jacobs Gulch Rd,
Kellogg, ID 83837-2023
Ph: (208) 784-4603 |
Reviews and Comments