| Beargrass Family Medicine, Pllc | |
|
445 W Alder St Missoula MT 59802-4121 | |
| (406) 510-1800 | |
| (406) 926-1114 |
| Full Name | Beargrass Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 445 W Alder St, Missoula, Montana |
| Authorized Official Name and Position | Timothy Caramore (PRESIDENT / PHYSICIAN) |
| Authorized Official Contact | 4065101800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beargrass Family Medicine, Pllc 445 W Alder St Missoula MT 59802-4121 Ph: (406) 510-1800 | Beargrass Family Medicine, Pllc 445 W Alder St Missoula MT 59802-4121 Ph: (406) 510-1800 |
| NPI Number | 1811514110 |
|---|---|
| Provider Enumeration Date | 07/02/2020 |
| Last Update Date | 03/11/2021 |
| Medicare PECOS PAC ID | 3779901442 |
|---|---|
| Medicare Enrollment ID | O20200911001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811514110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy J Caramore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659505238 PECOS PAC ID: 1153585575 Enrollment ID: I20121119000635 |
| Provider Name | Noor Bass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407233653 PECOS PAC ID: 8628333622 Enrollment ID: I20180522001565 |
| Provider Name | Christopher John Hallberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194257865 PECOS PAC ID: 5890049399 Enrollment ID: I20200924001094 |
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