| |
1516 Chouteau Street, Fort Benton, MT 59442 | |
(406) 622-5449 | |
(406) 622-6188 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1516 Chouteau Street, Fort Benton, Montana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538209390 | NPI | - | NPPES |
25781 | Other | MT | BLUE CROSS BLUE SHIELD |
0483730 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Donald M Hager |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831396548 PECOS PAC ID: 3678667136 Enrollment ID: I20080130000718 |
Provider Name | Patrick J Stibel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215081567 PECOS PAC ID: 4385728385 Enrollment ID: I20100330000684 |
Provider Name | Abby E Thompson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487924205 PECOS PAC ID: 7012141070 Enrollment ID: I20131004000313 |
Provider Name | Joshua A Hager |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083910459 PECOS PAC ID: 5395035422 Enrollment ID: I20160602000724 |
Mailing Address | Practice Location Address |
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Po Box 249, Fort Benton, MT 59442 Ph: (406) 622-5449 | 1516 Chouteau Street, Fort Benton, MT 59442 Ph: (406) 622-5449 |