Robert Kenneth Fairbanks, MD | |
504 6th St, Lewiston, ID 83501-2439 | |
(208) 799-5600 | |
(208) 799-5755 |
Full Name | Robert Kenneth Fairbanks |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 32 Years |
Location | 504 6th St, Lewiston, Idaho |
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 |
---|---|---|---|
1821084781 | NPI | - | NPPES |
8243958 | Medicaid | WA | |
000010032648 | Other | BLUE SHIELD OF IDAHO | |
0144615 | Other | WA | LABOR & INDUSTRIES |
805949200 | Medicaid | ID | |
3070FA | Other | WA | ASURIS NW HEALTH |
920006292 | Other | RAILROAD MEDICARE | |
5034131 | Other | AETNA | |
K0716 | Other | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD00037655 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Pullman Regional Hospital | Pullman, WA | Hospital |
Gritman Medical Center | Moscow, ID | Hospital |
Tri-state Memorial Hospital | Clarkston, WA | Hospital |
Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cancer Care Northwest Centers P S | 4688561939 | 41 |
Cancer Care Northwest Centers P S | 4688561939 | 41 |
Entity Name | Cancer Care Northwest Centers P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922072081 PECOS PAC ID: 4688561939 Enrollment ID: O20040302000160 |
Mailing Address | Practice Location Address |
---|---|
Robert Kenneth Fairbanks, MD Po Box 239, Lewiston, ID 83501-0239 Ph: (208) 799-5600 | Robert Kenneth Fairbanks, MD 504 6th St, Lewiston, ID 83501-2439 Ph: (208) 799-5600 |
Dr. John W. Ho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Dr. Khadijeh S. Zarkoob, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 504 6th St, Lewiston, ID 83501 Phone: 208-799-5600 | |
Dr. Mark W Peterson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5335 | |
Dr. Michael Todd Burtis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 531 4th Ave, Lewiston, ID 83501 Phone: 208-743-4393 | |
Norman Robert Willis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 504 6th St, Lewiston, ID 83501 Phone: 208-799-5600 Fax: 208-799-5755 | |
Dr. Gregory Robert Spurling, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 531 4th Ave, Lewiston, ID 83501 Phone: 208-743-4393 | |
Dr. Michael E Bell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5335 |