Stephen Godfrey, | |
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | |
(208) 625-4000 | |
Not Available |
Full Name | Stephen Godfrey |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2003 Kootenai Health Way, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386266336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M-17881 (Idaho) | Primary |
Entity Name | Southwestern Michigan Emergency Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013021310 PECOS PAC ID: 1456265891 Enrollment ID: O20040211000832 |
Entity Name | Kalamazoo Emergency Associates, Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
Mailing Address | Practice Location Address |
---|---|
Stephen Godfrey, 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000 | Stephen Godfrey, 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000 |
Christina Crabtree, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 Fax: 208-625-5731 | |
Dr. Matthew Kunz, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Dr. Thomas Patrick Martin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1221 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814 Phone: 208-773-7731 Fax: 208-773-7721 | |
Dr. Cody Laverdiere, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708 | |
Kathrine Giarra, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Cameron Crandall, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708 | |
Dr. Dawn Rachelle Gertson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Hospital Specialists-kmc Kootenai Medical Ctr, Coeur D Alene, ID 83814 Phone: 208-666-3378 Fax: 208-666-4037 |