Mrs Heather E Maddox, MD | |
500 W. Broadway, Missoula, MT 59802-4003 | |
(406) 721-5600 | |
(406) 721-3907 |
Full Name | Mrs Heather E Maddox |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 500 W. Broadway, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578558094 | NPI | - | NPPES |
010003105 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101231026 (Virginia) | Secondary |
207Q00000X | Family Medicine | 11962 (Montana) | Primary |
Entity Name | Glutality Provider Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200824003284 |
Mailing Address | Practice Location Address |
---|---|
Mrs Heather E Maddox, MD P.o. Box 7609, Missoula, MT 59807-7609 Ph: (406) 721-5600 | Mrs Heather E Maddox, MD 500 W. Broadway, Missoula, MT 59802-4003 Ph: (406) 721-5600 |
Dr. Kevin Matthew Chin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 W Spruce St Ste A, Missoula, MT 59802 Phone: 406-728-3111 Fax: 406-728-3116 | |
Dr. Craig H. Mchood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6015 Hobson Ln, Missoula, MT 59803 Phone: 406-529-3978 | |
Ned F Vasquez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4180 | |
Aubrey M Remmers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600 | |
Nicole Marie Pressman-schneider, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-329-7369 | |
Blair Brown, MD, MED Family Medicine Medicare: Medicare Enrolled Practice Location: 500 W Broadway St Fl 4, Missoula, MT 59802 Phone: 406-327-1940 Fax: 406-327-1974 | |
Ariel Fillmore, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 |