Michele A Danicich, MD | |
900 N Orange St Ste 304, Missoula, MT 59802-2951 | |
(406) 329-5781 | |
(406) 327-3331 |
Full Name | Michele A Danicich |
---|---|
Gender | Female |
Speciality | Endocrinology |
Experience | 32 Years |
Location | 900 N Orange St Ste 304, Missoula, Montana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053321273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MT8723 (Montana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Joseph Medical Center | Polson, MT | Hospital |
St. Patrick Hospital | Missoula, MT | Hospital |
Clark Fork Valley Hospital | Plains, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence St Joseph Medical Center | 0446230247 | 41 |
Entity Name | Providence Health & Services Mt |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Entity Name | Providence St Joseph Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
Mailing Address | Practice Location Address |
---|---|
Michele A Danicich, MD Po Box 12, Liberty Lake, WA 99019-0012 Ph: (406) 329-5781 | Michele A Danicich, MD 900 N Orange St Ste 304, Missoula, MT 59802-2951 Ph: (406) 329-5781 |
Mr. George Bandow, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 500 W Broadway St Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Simone Musco, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Rolf H O Holle, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1782 Elison Ln Unit 3, Missoula, MT 59802 Phone: 406-544-1871 | |
John David Anthony Lakatua, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 500 West Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 | |
Mr. Curtis G Wickre, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, 4th Floor, Missoula, MT 59802 Phone: 406-327-1900 | |
Dr. Charlotte Nelson, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-327-1613 | |
Annie C. Dong, M.D., M.P.H. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804 Phone: 406-327-4646 Fax: 406-327-4649 |