Samuel L Zuckerman, MD | |
Mountain Neonatology Llc, 3100 Channing Way, Idaho Falls, ID 83404-7533 | |
(602) 346-7013 | |
Not Available |
Full Name | Samuel L Zuckerman |
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Gender | Male |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | Mountain Neonatology Llc, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831156595 | NPI | - | NPPES |
132776910 | Medicaid | TX | |
200102900 A | Medicaid | OH | |
33787336 | Medicaid | NM | |
132776912 | Medicaid | TX | |
132776911 | Medicaid | TX |
Entity Name | Texas Tech University Health Sciences Center Amarillo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013942150 PECOS PAC ID: 9234037847 Enrollment ID: O20031220000051 |
Entity Name | Baylor College Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285079764 PECOS PAC ID: 0648405738 Enrollment ID: O20131025000939 |
Mailing Address | Practice Location Address |
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Samuel L Zuckerman, MD 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (210) 737-4928 | Samuel L Zuckerman, MD Mountain Neonatology Llc, 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (602) 346-7013 |
Shannon Jenkins, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 100, Idaho Falls, ID 83404 Phone: 208-535-4575 Fax: 208-535-4569 | |
Eric Peter Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Parkway, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028 | |
Dr. Jeffrey John Aughney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 | |
Brad Reid Edwards, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028 | |
Dr. Nephi Andersen Redd, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3320 S 25th E, Idaho Falls, ID 83404 Phone: 208-656-1500 | |
Dr. Joshua Michael Smith, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3910 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582 | |
Dr. Steven Blake Colson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-528-1039 Fax: 208-528-1939 |