Gary W Soucie, MD | |
1441 Parkway Dr, Blackfoot, ID 83221-1667 | |
(208) 785-2600 | |
Not Available |
Full Name | Gary W Soucie |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 1441 Parkway Dr, Blackfoot, 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 |
---|---|---|---|
1255386082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-8585 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspen Home Health Services | Idaho falls, ID | Home health agency |
Advanced Home Health | Idaho falls, ID | Home health agency |
Aspen Hospice | Idaho falls, ID | Hospice |
Mountain View Hospital | Idaho falls, ID | Hospital |
Bingham Memorial Hospital | Blackfoot, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mvh Bmc Llc | 2961791991 | 12 |
Entity Name | Mvh Bmc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649699174 PECOS PAC ID: 2961791991 Enrollment ID: O20160608002399 |
Mailing Address | Practice Location Address |
---|---|
Gary W Soucie, MD 1441 Parkway Dr, Blackfoot, ID 83221-1667 Ph: (208) 785-2600 | Gary W Soucie, MD 1441 Parkway Dr, Blackfoot, ID 83221-1667 Ph: (208) 785-2600 |
Peggy Toro, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 W Idaho St, Blackfoot, ID 83221 Phone: 208-782-3990 Fax: 208-782-3994 | |
Dr. Amador Ramirez Cantu, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 354 S 1000 W, Blackfoot, ID 83221 Phone: 208-684-4958 | |
Matthew J Fackrell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 Fax: 208-785-8185 | |
George G Hales, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Brian Carrigan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Poplar St, Blackfoot, ID 83221 Phone: 208-785-5801 Fax: 208-785-3504 | |
Gordon E Dixon Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 |