Nicholas Ray Burnham, DO | |
1101 26th St S, Great Falls, MT 59405-5161 | |
(406) 455-5200 | |
Not Available |
Full Name | Nicholas Ray Burnham |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1101 26th St S, Great Falls, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962795559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101019205 (Michigan) | Primary |
Entity Name | Benefis Hospitals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780968974 PECOS PAC ID: 1153235296 Enrollment ID: O20100629000044 |
Mailing Address | Practice Location Address |
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Nicholas Ray Burnham, DO 1101 26th St S, Great Falls, MT 59405-5161 Ph: (406) 455-5200 | Nicholas Ray Burnham, DO 1101 26th St S, Great Falls, MT 59405-5161 Ph: (406) 455-5200 |
Adrienne Krysiak, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 25th St S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8318 | |
Ryan Butler, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3010 15th Ave S, Great Falls, MT 59405 Phone: 406-216-8000 | |
Michael A Jasumback, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5200 | |
Tyra R Huval, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 29th Street South, Great Falls, MT 59405 Phone: 406-454-2171 Fax: 406-771-3021 | |
Dr. Cara Louise Callison, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8318 | |
David F. Simpson, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5200 | |
Justinn E. Lahaye, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8318 |