Olga Ivanovna Lebedevskiy, MD | |
750 N Syringa St Ste 205, Post Falls, ID 83854-5275 | |
(208) 262-0945 | |
(208) 415-0150 |
Full Name | Olga Ivanovna Lebedevskiy |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 750 N Syringa St Ste 205, Post Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750800553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | M-17393 (Idaho) | Primary |
Entity Name | Kootenai Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
Entity Name | North Idaho Day Surgery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104824739 PECOS PAC ID: 0840101218 Enrollment ID: O20110401000539 |
Entity Name | Kootenai Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
Mailing Address | Practice Location Address |
---|---|
Olga Ivanovna Lebedevskiy, MD 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300 | Olga Ivanovna Lebedevskiy, MD 750 N Syringa St Ste 205, Post Falls, ID 83854-5275 Ph: (208) 262-0945 |
John L Pennings, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St, Ste 205, Post Falls, ID 83854 Phone: 208-262-0945 Fax: 208-415-0150 | |
Antoine Y Sarkis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St, Suite205, Post Falls, ID 83854 Phone: 208-415-0151 | |
Dr. Cory Glen Richardson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 205, Post Falls, ID 83854 Phone: 208-262-0945 Fax: 208-425-0150 | |
Dr. Derek Thomas Dirks, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 205, Post Falls, ID 83854 Phone: 208-262-0945 Fax: 208-415-0150 | |
Dr. John Christopher Stackow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 190, Post Falls, ID 83854 Phone: 208-262-2328 Fax: 208-619-5057 |