Kevin Matthew Hanks, DO | |
1582 Elk Creek Drive, Idaho Falls, ID 83404 | |
(208) 542-5414 | |
(208) 552-2708 |
Full Name | Kevin Matthew Hanks |
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Gender | Male |
Speciality | Otolaryngology |
Experience | 23 Years |
Location | 1582 Elk Creek Drive, Idaho Falls, 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 |
---|---|---|---|
1215943295 | NPI | - | NPPES |
80756400 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 0-0401 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Mountain View Hospital | Idaho falls, ID | Hospital |
Entity Name | Mountain West Ear Nose And Throat, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447265285 PECOS PAC ID: 0345249298 Enrollment ID: O20061204000444 |
Mailing Address | Practice Location Address |
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Kevin Matthew Hanks, DO 1582 Elk Creek Drive, Idaho Falls, ID 83404 Ph: (208) 542-5414 | Kevin Matthew Hanks, DO 1582 Elk Creek Drive, Idaho Falls, ID 83404 Ph: (208) 542-5414 |
Kent W. Davis, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3869 Canterbury Way, Idaho Falls, ID 83404 Phone: 208-523-1652 | |
Dr. Terry Baker, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way, A-105, Idaho Falls, ID 83404 Phone: 208-552-9530 Fax: 208-522-6262 | |
Austin Baker, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 3200 Channing Way Ste A105, Idaho Falls, ID 83404 Phone: 208-552-9530 | |
Dr. Mark Lee Capener, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 2065 E 17th St, Suite B-2, Idaho Falls, ID 83404 Phone: 208-524-7244 Fax: 208-524-1088 | |
Dr. Richard Garrett Lee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3446 S 15th E, Idaho Falls, ID 83404 Phone: 208-522-6335 Fax: 208-522-0550 | |
Scott Ryan Hall, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2305 Coronado St, Idaho Falls, ID 83404 Phone: 208-522-1764 Fax: 208-522-1766 |