Kelly C Phelps, MD | |
203 S Daisy St, Salmon, ID 83467-0000 | |
(208) 756-5600 | |
(208) 756-4169 |
Full Name | Kelly C Phelps |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 38 Years |
Location | 203 S Daisy St, Salmon, 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 |
---|---|---|---|
1831270073 | NPI | - | NPPES |
004220800 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M-5808 (Idaho) | Secondary |
207Q00000X | Family Medicine | M5808 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Steele Memorial Medical Center | 9436131265 | 14 |
Ajo Community Health Center | 3476441866 | 13 |
Entity Name | Steele Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851403265 PECOS PAC ID: 9436131265 Enrollment ID: O20040604000056 |
Mailing Address | Practice Location Address |
---|---|
Kelly C Phelps, MD 203 S Daisy St, Salmon, ID 83467-0000 Ph: (208) 756-5600 | Kelly C Phelps, MD 203 S Daisy St, Salmon, ID 83467-0000 Ph: (208) 756-5600 |
Dr. Linda J Powell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 S Daisy St, Salmon, ID 83467 Phone: 208-756-6212 Fax: 888-789-1866 | |
Joseph James Krakker Iii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 S Daisy St, Salmon, ID 83467 Phone: 208-756-6212 Fax: 888-789-1866 | |
Joel V Dye, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 203 S Daisy St, Salmon, ID 83467 Phone: 208-756-5600 Fax: 208-756-4169 | |
Samuel D Gardner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Main St, Salmon, ID 83467 Phone: 208-756-6212 Fax: 208-756-6336 |