Roger A Cook, MD | |
777 Hospital Way, Pocatello, ID 83201-5175 | |
(208) 239-1000 | |
Not Available |
Full Name | Roger A Cook |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 17 Years |
Location | 777 Hospital Way, Pocatello, 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 |
---|---|---|---|
1003966227 | NPI | - | NPPES |
M11396 | Other | ID | IDAHO MEDICAL LICENSE |
11302 | Other | MT | MONTANA LICENSE NUMBER |
1003966227 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | M11396 (Idaho) | Primary |
207L00000X | Anesthesiology | 11302 (Montana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Idaho Pllc | 6204283856 | 35 |
Entity Name | Sei Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750701199 PECOS PAC ID: 4183849979 Enrollment ID: O20140711000736 |
Entity Name | Northstar Anesthesia Of Idaho Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912686882 PECOS PAC ID: 6204283856 Enrollment ID: O20231103002037 |
Mailing Address | Practice Location Address |
---|---|
Roger A Cook, MD Po Box 4107, Pocatello, ID 83205-4107 Ph: (208) 233-8880 | Roger A Cook, MD 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 239-1000 |
Dr. Daniel Dalley Snell, M.D, M.P.H. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 | |
Dr. Richard Willis Runyan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 150 Vista Dr, Pocatello, ID 83201 Phone: 208-232-7246 | |
Ryan R Shelton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. John Benjamin Traul, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave Ste A, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 | |
Juan Jose Leon, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Portneuf Heart And Vascular, Pocatello, ID 83201 Phone: 208-239-2500 | |
Dr. Steven Larry Follett, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1749 Walkabout Dr, Pocatello, ID 83204 Phone: 208-241-4204 Fax: 208-234-1162 |