John F Trotter, MD | |
775 Pole Line Rd W, Suite 111, Twin Falls, ID 83301-5814 | |
(208) 814-8000 | |
(208) 733-9402 |
Full Name | John F Trotter |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 775 Pole Line Rd 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 |
---|---|---|---|
1649213729 | NPI | - | NPPES |
003981200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M4251 (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 |
---|---|
John F Trotter, MD Po Box 587, Twin Falls, ID 83303-0587 Ph: (208) 814-7400 | John F Trotter, MD 775 Pole Line Rd W, Suite 111, Twin Falls, ID 83301-5814 Ph: (208) 814-8000 |
Dr. Austin Kline, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Ms. Nancy Mann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301 Phone: 208-595-5095 | |
Dr. Mitchell Jackson Moffitt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W, Suite 111, Twin Falls, ID 83301 Phone: 208-814-8000 Fax: 208-733-9402 | |
Ronald Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 630 Addison Ave W, Suite 100, Twin Falls, ID 83301 Phone: 208-733-4343 Fax: 208-734-9941 | |
Jared L Hansen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 706 N College Rd Ste C, Twin Falls, ID 83301 Phone: 208-391-5952 Fax: 877-409-2920 | |
Dr. Christopher Adam Eyre, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301 Phone: 208-595-5095 Fax: 208-595-5258 | |
Kathryn G Reese, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2550 Addison Ave E, Suite B, Twin Falls, ID 83301 Phone: 208-814-7700 Fax: 208-933-9301 |