Bear Lake County Memorial Hospital
A Medicare group practice based in Montpelier, ID: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 5395799860), with 44 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5395799860
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - End-Stage Renal Disease Facility (ESRD), Part A Provider - Home Health Agency, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group
- Enrolled in
- ID, UT
- Enrollments
- 10
- Group size
- 31 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 15
Enrollment records 10
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20111128000695 | ID | Part A Provider - Rural Health Clinic | 1699057166 |
| O20161130000118 | ID | Part B Supplier - Mammography Center | 1336125533 |
| O20050912000358 | UT | Part B Supplier - Clinic/Group Practice | 1538916333 |
| O20050503001168 | ID | Part A Provider - Home Health Agency | 1669521084 |
| O20050503001200 | ID | Part A Provider - Skilled Nursing Facility | 1568552446 |
| O20050429000989 | ID | Part A Provider - Rural Health Clinic | 1174741441 |
| O20071003000677 | ID | Part B Supplier - Clinic/Group Practice | 1174741441 |
| O20071009000617 | ID | Part A Provider - Critical Access Hospital | 1659461531 |
| O20061104000470 | ID | Part A Provider - Critical Access Hospital | 1336125533 |
| O20060412000785 | ID | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1740370626 |
NPIs in this group 11
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Bear Lake County Memorial Hospital
dba Bear Lake Internal Medicine
- Internal Medicine Physician
- Montpelier, ID
- NPI 1174741441
-
Bear Lake County Memorial Hospital
- Critical Access Hospital
- Montpelier, ID
- NPI 1336125533
-
Bear Lake County Memorial Hospital
dba BLMH Bear Lake Clinic
- Multi-Specialty Clinic/Center
- Garden City, UT
- NPI 1538916333
-
Bear Lake County Memorial Hospital
- Skilled Nursing Facility
- Montpelier, ID
- NPI 1568552446
-
Bear Lake County Memorial Hospital
- Skilled Nursing Facility
- Montpelier, ID
- NPI 1659461531
-
Bear Lake County Memorial Hospital
- Home Health Agency
- Montpelier, ID
- NPI 1669521084
-
Bear Lake County Memorial Hospital
dba Bear Lake Family Care and OB/GYN
- Rural Health Clinic/Center
- Montpelier, ID
- NPI 1699057166
-
Bear Lake County Memorial Hospital
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Montpelier, ID
- NPI 1740370626
-
Bear Lake County Memorial Hospital
- Orthopaedic Surgery Physician
- Montpelier, ID
- NPI 1376871749
-
Bear Lake County Memorial Hospital
dba Bear Lake Family Care and OB/GYN
- Family Medicine Physician
- Montpelier, ID
- NPI 1811138910
-
BLMH Mental Health
dba Bear Lake Memorial Hospital Mental Health
- Mental Health Counselor
- Montpelier, ID
- NPI 1447452800
Practice locations
- Montpelier, ID12
- Garden City, UT1
- Soda Springs, ID1
- Preston, ID1
Clinicians 44
Clinicians who reassign their Medicare benefits to this group (44) or whom Care Compare lists as members (31).
-
Anya Michelle Anthony, P.A.C.
- Physician Assistant
- Montpelier, ID
- NPI 1780739847
-
Wayne Berg, FNP
- Nurse Practitioner
- West Valley City, UT
- NPI 1851813299
-
Brandon David Bomsta, DO
- Emergency Medicine Physician
- Portsmouth, OH
- NPI 1538495106
-
Benjamin Charles Bosen, DO
- Family Medicine Physician
- Garden City, UT
- NPI 1134655756
-
Kristin K Buys, PA-C
- Physician Assistant
- Garden City, UT
- NPI 1194078501
-
Clay I. Campbell, M.D.
- Family Medicine Physician
- Bigfork, MT
- NPI 1952497810
-
Alex Michael Carr, FNP
- Family Nurse Practitioner
- Montpelier, ID
- NPI 1013623529
-
Douglas K Casperson, PA-C
- Medical Physician Assistant
- Choteau, MT
- NPI 1336251610
-
Amandeep Singh Chadha, MD
- Nephrology Physician
- Ogden, UT
- NPI 1881635845
-
Carter Noal Cook, MD
- Diagnostic Radiology Physician
- Fremont, NE
- NPI 1104862218
-
Mark Cowan, MD
- Surgery Physician
- Phoenix, AZ
- NPI 1740626183
-
Peter Melvin Crane, M.D.
- Family Medicine Physician
- Montpelier, ID
- NPI 1891960233
-
Joseph Dayton
- Physician Assistant
- Montpelier, ID
- NPI 1184065849
-
Justin Richard Degooyer, APRN
- Family Nurse Practitioner
- Ogden, UT
- NPI 1578172904
-
Jennifer Felter, NP
- Nurse Practitioner
- Malad City, ID
- NPI 1134417843
-
Adam Kimball Franson, D.O.
- Orthopaedic Surgery Physician
- London, KY
- NPI 1093036964
-
Jonah Jess Green, MD
- Surgery Physician
- Afton, WY
- NPI 1013079524
-
Dorian S Grunig, CRNA
- Certified Registered Nurse Anesthetist
- Montpelier, ID
- NPI 1982610549
-
Joshua E Hansen, PA-C
- Medical Physician Assistant
- Idaho Falls, ID
- NPI 1588948087
-
Lance A Hansen, MD
- Family Medicine Physician
- Montpelier, ID
- NPI 1861620262
-
Brandon J. Henscheid, PSY.D.
- Prescribing (Medical) Psychologist
- Montpelier, ID
- NPI 1447516984
-
Gregory William Hyde, DPT
- Physical Therapist
- Montpelier, ID
- NPI 1073376323
-
Flint Dean Jacobson, NP
- Family Nurse Practitioner
- Montpelier, ID
- NPI 1033837893
-
Trevor Dean Jacobson, M.D.
- Family Medicine Physician
- Montpelier, ID
- NPI 1366677759
-
Kerry Glen Jepsen, M.D.
- Orthopaedic Surgery Physician
- Joplin, MO
- NPI 1326073537
-
Ryan Bradley Longmore, D.O.
- Cardiovascular Disease Physician
- Pocatello, ID
- NPI 1285884213
-
Jacob L. Lufkin, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Montpelier, ID
- NPI 1457741167
-
Adam Matthews, DPM
- Foot & Ankle Surgery Podiatrist
- Pocatello, ID
- NPI 1134411408
-
Ryan P McDonald, MD
- Nephrology Physician
- Layton, UT
- NPI 1194915561
-
Khristina Ashley Meissner, DO
- Family Medicine Physician
- Montpelier, ID
- NPI 1982018123
-
Alex C Moss, PAC
- Physician Assistant
- Montpelier, ID
- NPI 1437232659
-
Benjamin Olson, DO
- Orthopaedic Surgery Physician
- La Grande, OR
- NPI 1932394186
-
Nicholas Merrill Packer, M.D.
- Obstetrics & Gynecology Physician
- Montpelier, ID
- NPI 1891086377
-
Justin Paul Parkinson, MD
- Urology Physician
- Bountiful, UT
- NPI 1851314066
-
John Howard Pymm, D.O.
- Family Medicine Physician
- Storm Lake, IA
- NPI 1336552306
-
Hans Thurgood Redd, MD
- Pediatrics Physician
- Rexburg, ID
- NPI 1558348649
-
Brian Scott Retherford, M.D.
- Obstetrics & Gynecology Physician
- Douglas, WY
- NPI 1134183080
-
Houston Reynolds, MD
- Family Medicine Physician
- Montpelier, ID
- NPI 1609498336
-
Hal Richins Jr., MD
- Family Medicine Physician
- Springerville, AZ
- NPI 1720437601
-
Craig S Sandberg, CRNA
- Certified Registered Nurse Anesthetist
- Sidney, NE
- NPI 1295151025
-
Tracy Ann Seel, PA
- Physician Assistant
- Garden City, UT
- NPI 1326043225
-
Shaun David Tobler, MSW, LCSW
- Clinical Social Worker
- Montpelier, ID
- NPI 1295891844
-
Kasey L Ward, NP
- Family Nurse Practitioner
- Montpelier, ID
- NPI 1609504356
-
Whitney Marie Weborg, PT, DPT
- Physical Therapist
- Montpelier, ID
- NPI 1497302244
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.