Gordon E Dixon Jr, DO | |
1441 Parkway Dr, Blackfoot, ID 83221-1667 | |
(208) 785-2600 | |
Not Available |
Full Name | Gordon E Dixon Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 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 |
---|---|---|---|
1578518395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0-200 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain View Hospital | Idaho falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain View Hospital Llc | 4486562774 | 188 |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
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 |
Entity Name | Cc Pocatello Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538517156 PECOS PAC ID: 8527353176 Enrollment ID: O20160822003018 |
Mailing Address | Practice Location Address |
---|---|
Gordon E Dixon Jr, DO 1441 Parkway Dr, Blackfoot, ID 83221-1667 Ph: (208) 785-2600 | Gordon E Dixon Jr, DO 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 | |
Gary W Soucie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
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 |