Dr Ian William Udell, MD | |
3815 N Schreiber Way Unit 101, Coeur D Alene, ID 83815-8434 | |
(208) 755-2804 | |
(208) 765-0277 |
Full Name | Dr Ian William Udell |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 14 Years |
Location | 3815 N Schreiber Way Unit 101, Coeur D Alene, 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 |
---|---|---|---|
1396065223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | M-16528 (Idaho) | Primary |
208800000X | Urology | MD61561040 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Kootenai Health | Coeur d'alene, ID | Hospital |
Bonner General Hospital | Sandpoint, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Cancer Care Pllc | 6901158773 | 9 |
Entity Name | Beacon Cancer Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407335367 PECOS PAC ID: 6901158773 Enrollment ID: O20181004002759 |
Entity Name | Kootenai Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
Mailing Address | Practice Location Address |
---|---|
Dr Ian William Udell, MD 3815 N Schreiber Way Unit 101, Coeur D Alene, ID 83815-8434 Ph: (208) 755-2804 | Dr Ian William Udell, MD 3815 N Schreiber Way Unit 101, Coeur D Alene, ID 83815-8434 Ph: (208) 755-2804 |
Roxanne Haslam, MD Urology Medicare: Medicare Enrolled Practice Location: 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814 Phone: 208-667-0621 Fax: 208-664-1709 | |
Matthew David Mclaughlin, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr, Ste 104, Coeur D Alene, ID 83814 Phone: 208-667-0621 Fax: 208-664-1709 | |
Dr. Chad Allan Peterson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr, Ste. 104, Coeur D Alene, ID 83814 Phone: 208-667-0621 Fax: 208-664-1709 | |
David Flores, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814 Phone: 208-667-0621 Fax: 208-664-1709 |