Big Sky Medical Associates, Pllc | |
155 Mill Town Loop Ste A Bozeman MT 59718-5146 | |
(406) 551-2180 | |
Not Available |
Full Name | Big Sky Medical Associates, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 155 Mill Town Loop Ste A, Bozeman, Montana |
Authorized Official Name and Position | Jonathan Mckinnon (OWNER) |
Authorized Official Contact | 4065512180 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Big Sky Medical Associates, Pllc 40 Spanish Peak Dr Unit 101-182 Bozeman MT 59718-6940 Ph: (702) 757-5167 | Big Sky Medical Associates, Pllc 155 Mill Town Loop Ste A Bozeman MT 59718-5146 Ph: (406) 551-2180 |
NPI Number | 1700662699 |
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Provider Enumeration Date | 09/06/2023 |
Last Update Date | 10/18/2023 |
Certification Date | 10/18/2023 |
Medicare PECOS PAC ID | 5193267045 |
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Medicare Enrollment ID | O20240606001479 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700662699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Jonathan H Mckinnon |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1730159385 PECOS PAC ID: 3779639737 Enrollment ID: I20240606001560 |
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