Sara Martin Lawrence, MD | |
700 S Main St, Moscow, ID 83843 | |
(208) 882-4511 | |
Not Available |
Full Name | Sara Martin Lawrence |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 700 S Main St, Moscow, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982678579 | NPI | - | NPPES |
806013500 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M-8093 (Idaho) | Primary |
207Q00000X | Family Medicine | M8093 (Idaho) | Secondary |
Entity Name | Gritman Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
Mailing Address | Practice Location Address |
---|---|
Sara Martin Lawrence, MD 700 S Main St, Moscow, ID 83843-3046 Ph: (208) 882-4511 | Sara Martin Lawrence, MD 700 S Main St, Moscow, ID 83843 Ph: (208) 882-4511 |
Lauren Brogis, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Dr. Debra K Mckinnon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |
Dr. James M Clark, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Dr. Kurt R Martyn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |
Victoria Bernard, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 S Washington St, Moscow, ID 83843 Phone: 209-892-1346 | |
William E Caldwell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 623 S Main St, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Dr. Nicholas Garrett, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 |