Mr Jon L Griffith, MD | |
700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 | |
(509) 228-1000 | |
(509) 252-9300 |
Full Name | Mr Jon L Griffith |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 44 Years |
Location | 700 W Ironwood Dr, Coeur D Alene, 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 |
---|---|---|---|
1356333959 | NPI | - | NPPES |
003713100 | Medicaid | ID | |
320000489 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | M5308 (Idaho) | Primary |
2085R0001X | Radiology - Radiation Oncology | MD00020143 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cancer Care Northwest Centers P S | 4688561939 | 41 |
Cancer Care Northwest Centers P S | 4688561939 | 41 |
Entity Name | Cancer Care Northwest Centers P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922072081 PECOS PAC ID: 4688561939 Enrollment ID: O20040302000160 |
Mailing Address | Practice Location Address |
---|---|
Mr Jon L Griffith, MD Po Box 3868, Spokane, WA 99220-3868 Ph: (509) 228-1000 | Mr Jon L Griffith, MD 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 Ph: (509) 228-1000 |
Brian J Mcnamee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr, Suite 110, Coeur D Alene, ID 83814 Phone: 208-666-3200 Fax: 208-666-3217 | |
Dr. Michael Gerardo Melendez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2789 E Spyglass Ct, Coeur D Alene, ID 83815 Phone: 208-610-0041 Fax: 208-777-1313 | |
Lauren Gayle Deur, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814 Phone: 208-292-2263 Fax: 208-292-3130 | |
Dr. George F. Knight, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814 Phone: 208-415-0524 Fax: 208-763-3644 | |
Jeffrey Wayne Grossman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2031 E Mountain Vista Dr, Coeur D Alene, ID 83815 Phone: 208-570-3342 | |
Dr. Bryan Douglas Berkey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-3000 Fax: 208-625-6301 | |
Dr. Albert Jose Martinez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-6309 Fax: 208-625-6310 |