Phatama Padavanija, MD | |
725 Pole Line Rd W, Twin Falls, ID 83301-5800 | |
(208) 814-1600 | |
Not Available |
Full Name | Phatama Padavanija |
---|---|
Gender | Female |
Speciality | Medical Oncology |
Experience | 35 Years |
Location | 725 Pole Line Rd W, Twin Falls, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679527717 | NPI | - | NPPES |
009997775 | Medicaid | AL | |
009997765 | Medicaid | AL | |
009998765 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 17531 (Alabama) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | M-11228 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
St Luke's Jerome | Jerome, ID | Hospital |
Cassia Regional Hospital | Burley, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Phatama Padavanija, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Phatama Padavanija, MD 725 Pole Line Rd W, Twin Falls, ID 83301-5800 Ph: (208) 814-1600 |
Joseph Murdock Strobel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 | |
Dr. William Stephen Lefler Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 746 N College Rd Ste A, Twin Falls, ID 83301 Phone: 208-814-7230 | |
Nagraj Narasimhan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 | |
Dr. Timothy Adam Enders, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 | |
Dr. Joseph Ezer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W Ste 315, Twin Falls, ID 83301 Phone: 208-814-8750 | |
John A Baker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 302, Twin Falls, ID 83301 Phone: 208-814-8600 Fax: 208-814-8942 | |
Krystin Nicole Hedeen, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 |