Dr Tim John Ochoa, DO | |
25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 | |
(208) 784-1221 | |
Not Available |
Full Name | Dr Tim John Ochoa |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 25 Jacobs Gulch Rd, Kellogg, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609164417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | O-0978 (Idaho) | Secondary |
207P00000X | Emergency Medicine | O-0978 (Idaho) | Primary |
Entity Name | Benewah Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386632180 PECOS PAC ID: 1850200700 Enrollment ID: O20040927000265 |
Entity Name | Shoshone Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043215437 PECOS PAC ID: 6103739107 Enrollment ID: O20050113001084 |
Entity Name | Benewah Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1548320435 PECOS PAC ID: 1850200700 Enrollment ID: O20061104000136 |
Mailing Address | Practice Location Address |
---|---|
Dr Tim John Ochoa, DO 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 Ph: (208) 784-1221 | Dr Tim John Ochoa, DO 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 Ph: (208) 784-1221 |
Dr. Tricia Lynn Dickens, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Jacobs Gulch Rd Ste 1, Kellogg, ID 83837 Phone: 208-263-0649 Fax: 208-265-6743 |