Dr Michael Lee Ettner, MD | |
229 S 7th St, Saint Maries, ID 83861-1803 | |
(208) 245-5551 | |
(208) 245-5246 |
Full Name | Dr Michael Lee Ettner |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 38 Years |
Location | 229 S 7th St, Saint Maries, 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 |
---|---|---|---|
1629061940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M-6577 (Idaho) | Primary |
207P00000X | Emergency Medicine | MD61241262 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Trios Health | Kennewick, WA | Hospital |
Benewah Community Hospital | St maries, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Benewah Community Hospital | 1850200700 | 28 |
Washington Emergency Physician Partners Pllc | 5092951814 | 11 |
Entity Name | Gritman Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
Entity Name | Benewah Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386632180 PECOS PAC ID: 1850200700 Enrollment ID: O20040927000265 |
Entity Name | Benewah Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1548320435 PECOS PAC ID: 1850200700 Enrollment ID: O20061104000136 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Lee Ettner, MD 229 S 7th St, Saint Maries, ID 83861-1803 Ph: (208) 245-5551 | Dr Michael Lee Ettner, MD 229 S 7th St, Saint Maries, ID 83861-1803 Ph: (208) 245-5551 |
Dr. Travis Aaron Newby, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 229 S 7th St, Saint Maries, ID 83861 Phone: 208-245-5551 Fax: 208-245-5246 |