| Michael Jude Pankau, MD | |
|
3430 Washington Pkwy, Idaho Falls, ID 83404-7579 | |
| (208) 523-3060 | |
| (208) 523-0028 |
| Full Name | Michael Jude Pankau |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3430 Washington Pkwy, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558475111 | NPI | - | NPPES |
| 0038900000 | Medicaid | ID | |
| 110702000 | Medicaid | WY | |
| 000010005951 | Other | ID | BLUE SHIELD |
| 0117402 | Medicaid | MT | |
| 1285786046 | Medicaid | WY | |
| 48157 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M4815 (Idaho) | Primary |
| 208000000X | Pediatrics | F9918 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Jude Pankau, MD 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 Ph: (208) 523-3060 | Michael Jude Pankau, MD 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 Ph: (208) 523-3060 |
Shannon Jenkins, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 100, Idaho Falls, ID 83404 Phone: 208-535-4575 Fax: 208-535-4569 | |
Eric Peter Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Parkway, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028 | |
Dr. Jeffrey John Aughney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 | |
Brad Reid Edwards, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028 | |
Dr. Nephi Andersen Redd, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3320 S 25th E, Idaho Falls, ID 83404 Phone: 208-656-1500 | |
Dr. Joshua Michael Smith, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3910 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582 | |
Dr. Steven Blake Colson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-528-1039 Fax: 208-528-1939 |