Peter Gordon Vondoersten, MD | |
700 W Kent Ave, Missoula, MT 59801-6772 | |
(406) 541-3277 | |
(406) 541-3950 |
Full Name | Peter Gordon Vondoersten |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 35 Years |
Location | 700 W Kent Ave, Missoula, Montana |
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 |
---|---|---|---|
1619962990 | NPI | - | NPPES |
0019773 | Medicaid | MT | |
118619100 | Medicaid | WY | |
804154700 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 8110 (Montana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Patrick Hospital | Missoula, MT | Hospital |
Bozeman Health Deaconess Hospital | Bozeman, MT | Hospital |
Community Medical Center | Missoula, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence St Joseph Medical Center | 0446230247 | 41 |
Rocky Mountain Ear Nose And Throat Center Pc | 3678472099 | 17 |
Entity Name | Rocky Mountain Ear Nose & Throat |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306857917 PECOS PAC ID: 3678472099 Enrollment ID: O20040105000867 |
Entity Name | Marcus Daly Memorial Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659475846 PECOS PAC ID: 5597664474 Enrollment ID: O20040202001033 |
Entity Name | Providence St Joseph Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
Entity Name | Marcus Daly Memorial Hospital Corporation |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1659475846 PECOS PAC ID: 5597664474 Enrollment ID: O20061104000439 |
Entity Name | Bozeman Health Deaconess Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619347390 PECOS PAC ID: 4688984164 Enrollment ID: O20151112002559 |
Mailing Address | Practice Location Address |
---|---|
Peter Gordon Vondoersten, MD Po Box 4907, 700 West Kent, Missoula, MT 59806-4907 Ph: (406) 541-3277 | Peter Gordon Vondoersten, MD 700 W Kent Ave, Missoula, MT 59801-6772 Ph: (406) 541-3277 |
Phillip A Gardner, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3277 Fax: 406-541-3811 | |
Bradley Morris, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 535 Evan Kelly Rd, Missoula, MT 59802 Phone: 406-728-3855 | |
Jeffrey Haller, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3277 Fax: 406-541-3950 | |
Dr. Thomas Clark Hoshaw, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3277 | |
David Mark Hayes, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3804 Fax: 406-541-3950 | |
Daniel Edward Braby, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3277 Fax: 406-541-3950 |