Darryl M Espeland, DO
Individual provider Active NPI General Practice Physician · Baker, MT
NPI 1093745572 · NPPES record last updated Jan 25, 2021
Key facts
- NPI
- 1093745572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 6291 (MT)
- Practice address
- 202 South 4TH Street West
Baker, MT 59313-1119 - Phone
- (406) 778-2833
- Fax
- (406) 778-5131
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
106 E Park St
Suite 1229
Ekalaka, MT 59324-7701
Phone (406) 775-6332
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100202000330 | MT | Practitioner - General Practice |
9638071319 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Carter | Current |
Accepting new patients | |
| Fallon Medical Complex Inc | Current |
Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
710 Drake St
Wibaux, MT 59353
Phone (406) 778-2833
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/dahlmem-def2a17d
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 6291 | MT | Yes |
Addresses
Primary practice location
202 South 4TH Street West
Baker, MT 59313-1119
Mailing address
PO Box 1119
Baker, MT 59313-1119
Phone (406) 778-2833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11521 | Other | MT | BLUE CROSS WIBAUX |
| 95040 | Other | MT | BLUE CROSS - BAKER |
| 21386 | Medicaid | MT | |
| 360633 | Medicaid | MT |
Other providers in Baker, MT
- Baker Drug
- Baker Drug Company
- James R Campbell Jr.
- County of Fallon
- County of Fallon
- Fallon Medical Complex Inc
- Fallon Medical Complex Inc
- Fallon Medical Complex Inc
- Fallon Medical Complex Inc
- Fallon Medical Complex Inc
All providers in Baker, MT · General Practice Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.