Eric S Cassidy, MD | |
650 Addison Ave W, Twin Falls, ID 83301-5444 | |
(208) 732-3429 | |
(208) 732-3220 |
Full Name | Eric S Cassidy |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 650 Addison Ave W, Twin 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 |
---|---|---|---|
1982647830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | O-235 (Idaho) | Primary |
Entity Name | St Lukes Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Mailing Address | Practice Location Address |
---|---|
Eric S Cassidy, MD Po Box 409, Twin Falls, ID 83303-0409 Ph: (208) 732-3429 | Eric S Cassidy, MD 650 Addison Ave W, Twin Falls, ID 83301-5444 Ph: (208) 732-3429 |
Adam Rod Bowman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1440 | |
Chad F Colvin, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Addison Ave W, Twin Falls, ID 83301 Phone: 208-732-3429 Fax: 208-732-3220 | |
Philip M Nelson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Addison Ave W, Twin Falls, ID 83301 Phone: 208-732-3429 Fax: 208-732-3220 | |
Kevin G Kraal, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Addison Ave W, Twin Falls, ID 83301 Phone: 208-732-3429 Fax: 208-732-3220 | |
Kent H Pressman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Addison Ave W, Twin Falls, ID 83301 Phone: 208-732-3429 Fax: 208-732-3220 | |
Samuel A Booth, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Addison Ave W, Twin Falls, ID 83301 Phone: 208-732-3429 Fax: 208-732-3220 |