Erik R Bodtker, MD | |
915 Highland Blvd, Bozeman, MT 59715-6902 | |
(800) 461-3981 | |
(801) 733-5872 |
Full Name | Erik R Bodtker |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 915 Highland Blvd, Bozeman, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225054695 | NPI | - | NPPES |
071292 | Medicaid | AZ | |
P01790452 | Other | NM | RAILROAD MEDICARE |
134310888 | Other | MT | NEW WEST & HLTH CONNECT |
0148772 | Medicaid | MT | |
1343108880000 | Other | MT | CHAMPUS |
67432514 | Medicaid | NM | |
000091916 | Other | MT | BLUE CROSS OF MONTANA |
1225054695 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 8414 (Montana) | Primary |
Entity Name | Four Corners Anesthesia, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093758831 PECOS PAC ID: 6608762950 Enrollment ID: O20040224001194 |
Mailing Address | Practice Location Address |
---|---|
Erik R Bodtker, MD 3717 Cottage Ln, Bozeman, MT 59715-0664 Ph: (406) 624-6329 | Erik R Bodtker, MD 915 Highland Blvd, Bozeman, MT 59715-6902 Ph: (800) 461-3981 |
David Joly, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 931 Highland Blvd, Suite 3103, Bozeman, MT 59715 Phone: 406-599-9561 | |
Dr. Jeffrey Thomas Bolka, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 925 Highland Blvd, Bozeman, MT 59715 Phone: 406-414-5000 | |
Ms. Fiona Margaret Buckley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Bozeman Deaconess Hospital, 915 Highland Blvd, Bozeman, MT 59715 Phone: 406-585-5000 | |
Philip C Cory, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15075 Dell Road, Bozeman, MT 59715 Phone: 406-587-3523 | |
Lawrence A Alvarado Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 925 Highland Blvd, Bozeman, MT 59715 Phone: 406-599-9561 | |
Kevin Wayne Bozarth, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 915 Highland Blvd, Bozeman, MT 59715 Phone: 800-461-3981 Fax: 801-733-5872 |