Joseph Pendleton, MD | |
1450 Aviation Dr Ste 100, Hailey, ID 83333-8785 | |
(208) 788-3434 | |
Not Available |
Full Name | Joseph Pendleton |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1450 Aviation Dr Ste 100, Hailey, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689238016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-15465 (Idaho) | Primary |
Entity Name | St Lukes Clinic - Wood River Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
Mailing Address | Practice Location Address |
---|---|
Joseph Pendleton, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Joseph Pendleton, MD 1450 Aviation Dr Ste 100, Hailey, ID 83333-8785 Ph: (208) 788-3434 |
Mrs. Cortney A Vandenburgh, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Frank M Batcha, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Thomas E Archie Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Kathryn A Woods, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Amy C Drumm, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Ste 100, Hailey, ID 83333 Phone: 208-788-3434 | |
Lois Adrian, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Lucinda Leigh Morse, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 |