| Patricia Ann Brady, MD | |
|
222 Southway Ave, Ste C, Lewiston, ID 83501-2703 | |
| (208) 746-1333 | |
| (208) 746-8090 |
| Full Name | Patricia Ann Brady |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 222 Southway Ave, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922079037 | NPI | - | NPPES |
| 002615300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M4526 (Idaho) | Primary |
| Entity Name | St Joseph Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790816262 PECOS PAC ID: 2961497235 Enrollment ID: O20041220001093 |
| Entity Name | St Joseph Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Ann Brady, MD 222 Southway Ave, Ste C, Lewiston, ID 83501-2703 Ph: (208) 746-1333 | Patricia Ann Brady, MD 222 Southway Ave, Ste C, Lewiston, ID 83501-2703 Ph: (208) 746-1333 |
Robert Alan Wales, MD, FACC Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St Grade, Lewiston, ID 83501 Phone: 509-455-8820 Fax: 509-227-7070 | |
David B Souvenir, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7204 Fax: 208-746-0134 | |
Jane A Fore, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Sixth St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Dr. Heather Fowler Cumbo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Sushma Pant, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 Idaho Street, Lewiston, ID 83501 Phone: 208-743-7427 Fax: 208-743-7421 | |
Dr. Michael Rooney, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528 | |
Dr. William Westel Rowe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7507 |