Thomas Wonderlich, MD | |
301 Cedar St, Orofino, ID 83544-9029 | |
(208) 476-5777 | |
(208) 476-5385 |
Full Name | Thomas Wonderlich |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 301 Cedar St, Orofino, 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 |
---|---|---|---|
1982016788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9495056-1205 (Utah) | Secondary |
207Q00000X | Family Medicine | M13796 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
Syringa General Hospital | Grangeville, ID | Hospital |
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Mary's Hospital, Inc. | 5092773168 | 16 |
Entity Name | Clearwater Valley Hospital & Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
Entity Name | St. Mary's Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20050316000814 |
Entity Name | Clearwater Valley Hospital & Clinics |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1255449013 PECOS PAC ID: 0547173346 Enrollment ID: O20061104000428 |
Mailing Address | Practice Location Address |
---|---|
Thomas Wonderlich, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 476-5777 | Thomas Wonderlich, MD 301 Cedar St, Orofino, ID 83544-9029 Ph: (208) 476-5777 |
Brett T Mumford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-5777 Fax: 208-476-5385 | |
Phillip H Petersen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
Vanessa Kimberly Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
John Edward Riley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Hospital Dr, Orofino, ID 83544 Phone: 208-476-4511 Fax: 208-476-7898 | |
Clayton James Bunt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Clearwater Valley Hospital & Clinics, Orofino, ID 83544 Phone: 208-476-4555 | |
Kelly Mcgrath, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
Peter W Crecelius, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 |