Nelson Antoniuk, MD | |
6509 Highway 2 Ste 101, Priest River, ID 83856-6609 | |
(208) 448-2321 | |
(208) 448-1317 |
Full Name | Nelson Antoniuk |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 6509 Highway 2 Ste 101, Priest River, 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 |
---|---|---|---|
1588609176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-13097 (Idaho) | Primary |
207P00000X | Emergency Medicine | MD00040823 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bonner General Hospital | Sandpoint, ID | Hospital |
Newport Community Hospital | Newport, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boundary Regional Community Health Center, Inc. | 2264341221 | 19 |
Entity Name | Boundary Regional Community Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538447727 PECOS PAC ID: 2264341221 Enrollment ID: O20050211000195 |
Mailing Address | Practice Location Address |
---|---|
Nelson Antoniuk, MD Po Box 2160, Sandpoint, ID 83864-0908 Ph: (208) 263-7101 | Nelson Antoniuk, MD 6509 Highway 2 Ste 101, Priest River, ID 83856-6609 Ph: (208) 448-2321 |
Dr. Jeffrey B Fowler, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 314 E Albeni Hwy, Suite 102, Priest River, ID 83856 Phone: 208-448-2321 Fax: 208-448-1317 | |
Dr. Charles R Falter, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 314 E Albeni Hwy, Suite 102, Priest River, ID 83856 Phone: 208-448-2321 Fax: 208-448-1317 |