Matthew Robert Womeldorff, MD | |
700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814-4404 | |
(208) 625-5100 | |
(208) 625-5101 |
Full Name | Matthew Robert Womeldorff |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 700 W Ironwood Dr Ste 158, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184157778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | M-16396 (Idaho) | Primary |
Entity Name | Kootenai Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
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 |
---|---|
Matthew Robert Womeldorff, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5100 | Matthew Robert Womeldorff, MD 700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814-4404 Ph: (208) 625-5100 |
Dr. Christin J Mcintyre, MD, PHD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1250 W Ironwood Dr Ste 303, Coeur D Alene, ID 83814 Phone: 503-276-1295 Fax: 234-444-5496 | |
John Michael Thurston, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 Northwest Blvd Ste 200, Coeur D Alene, ID 83814 Phone: 208-225-8642 Fax: 208-795-8079 | |
Dr. James Y. Lea, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2022 N Government Way, Coeur D Alene, ID 83814 Phone: 208-667-5536 Fax: 208-765-1194 | |
Dr. Charles William Britt Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Dr. Michah Brasseur, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 Fax: 208-625-5101 | |
Lizl Maureen Lasky, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814 Phone: 208-625-5100 Fax: 208-625-5101 |