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IDM01PDES1219
H5628_20_0008_NM_IDPD_C H5628_20_0008_NM_IDPD_C es
2020 Provider & Pharmacy Directory Directorio de proveedores
y farmacias
Molina Medicare Complete Care HMO SNP
Idaho Ada, Bannock, Bingham, Boise, Bonner, Bonneville,
Boundary, Canyon, Cassia, Elmore,
Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce,
Owyhee, Payette, Power,
Twin Falls
This pharmacy directory was updated on 12/2019 . For more recent
information or other questions, please contact us, Molina Medicare
Complete Care HMO SNP Member Services, at (844) 239-4913, or for
TTY users,
dial 711, 7 days a week, 8 a.m. to 8 p.m., local time, or visit
MolinaHealthcare.com/Medicare.
Changes to our pharmacy network may occur during the benefit
year. An updated Pharmacy Directory is located
on our website at MolinaHealthcare.com/IDMaterials. You may also
call Member Services for updated
providers.
If you have additional questions, please call Member Services,
at (844) 239-4913, TTY: 711, 7 days a week, 8 a.m. to 8 p.m., local
time.
Este directorio de farmacias se actualizó en 12/2019 . Para
obtener la información más reciente o respuestas a sus preguntas,
comuníquese con nosotros llamando al Departamento de Servicios para
Miembros de Molina Medicare Complete Care HMO SNP al (844)
239-4913, o si es usuario del servicio TTY, marque 711, los 7 días
de la semana de 8 a.m. a 8 p.m., hora local, o visite
MolinaHealthcare.com/Medicare.
Podemos realizar cambios en nuestra red de farmacias durante el
año de beneficios. Hay un directorio de farmacias actualizado en
nuestro sitio web, MolinaHealthcare.com/IDMaterials. También puede
llamar al Departamento de Servicios para Miembros para obtener
información actualizada de los proveedores.
Si tiene otras preguntas comuníquese con el Departamento de
Servicios para Miembros al (844) 239-4913, TTY al 711, los 7 días
de la semana, de 8 a.m. a 8 p.m., hora local.
For more information visit | Para más información visite el
sitio web:
MolinaHealthcare.com/Medicare
https://www.molinahealthcare.com/medicarehttps://www.molinahealthcare.com/members/id/en-us/mem/medicare/drug/pages/plan-materials.aspxhttps://www.molinahealthcare.com/medicarehttps://www.molinahealthcare.com/members/id/en-us/mem/medicare/drug/pages/plan-materials.aspxhttps://www.molinahealthcare.com/medicare
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Table of Contents / Índice
Section 1 / Sección 1 - Introduction / Introducción 7 / 11
What is the service area for Molina Medicare Complete Care? /
¿Cuál es el área de servicio para Molina Medicare Complete Care? 9
/ 13
How do you find Molina Medicare Complete Care providers that
serve your area? / ¿Cómo encontrar proveedores de Molina Medicare
Complete Care en su área? 9 / 13
Section 2 / Sección 2 - List of Network Providers / Lista de los
proveedores de la red
Primary Care Providers / Proveedores de atención primaria 15
Specialists / Especialistas 143
Hospitals / Hospitales 636
Skilled Nursing Facilities (SNF) / Centros de enfermería
especializada (SNF) 637
Outpatient Mental Health Providers / Proveedores de salud mental
ambulatorios 640
Long Term Services and Support Providers / Servicios y Apoyo a
Largo Plazo (LTSS) 742
Molina Medicare Complete Care Supplemental Benefits Contacts
Information 750
Molina Medicare Complete Care Información sobre beneficios
suplementarios 751
Supplemental Providers - Chiropractor / Proveedores
Suplementarios - quiropráctico 753
Supplemental Providers - Hearing / Proveedores Suplementarios -
audición 757
Supplemental Providers - Vision / Proveedores Suplementarios -
visión 759
Section 3 / Sección 3 - Pharmacy Directory / Directorio de
Farmacias
Pharmacy Introduction / Introducción de Farmacias 766 / 767
Section 4 / Sección 4 - Pharmacies / Farmacias
Retail Pharmacies, including Chain Pharmacies / Farmacias al por
menor, incluyendo las cadenas de farmacias 768
Mail Order Pharmacy / Farmacia para Pedidos por Correo 780
Home Infusion Pharmacies / Servicios de Farmacias de Infusión en
Casa 781
Long-Term Care Pharmacies / Farmacias para Cuidados a Largo
Plazo 782
Indian Health Service / Tribal / Urban Indian Health Program
(I/T/U) Pharmacies / Programa de Farmacias I/T/U para Servicios de
Salud de Indios/Tribus/ Indios Urbanos 784
Index of Providers / Índice de Proveedores 785
1
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..........................................................................Index
of Pharmacies / Índice de farmacias 816
2
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Molina Healthcare of Idaho (Molina) complies with all Federal
civil rights laws that relate to healthcare
services. Molina offers healthcare services to all members
without regard to race, color, national origin, age,
disability, or sex. Molina does not exclude people or treat them
differently because of race, color, national
origin, age, disability, or sex. This includes gender identity,
pregnancy and sex stereotyping.
To help you talk with us, Molina provides services free of
charge:
• Aids and services to people with disabilities
○ Skilled sign language interpreters
○ Written material in other formats (large print, audio,
accessible electronic formats, Braille)
• Language services to people who speak another language or have
limited English skills
o Skilled interpreters o Written material translated in your
language o Material that is simply written in plain language
If you need these services, contact Molina Member Services at
(844) 239-4913; TTY/TDD: 711,
Monday – Friday, 8 a.m. to 8 p.m., local time.
If you think that Molina failed to provide these services or
treated you differently based on your race, color,
national origin, age, disability, or sex, you can file a
complaint. You can file a complaint in person, by mail,
fax, or email. If you need help writing your complaint, we will
help you. Call our Civil Rights Coordinator at
(866) 606-3889, or TTY, 711. Mail your complaint to:
Civil Rights Coordinator
200 Oceangate
Long Beach, CA 90802
You can also email your complaint to
[email protected]. Or, fax your complaint to (562)
499-
0610.
You can also file a civil rights complaint with the U.S.
Department of Health and Human Services, Office for
Civil Rights. Complaint forms are available at
http://www.hhs.gov/ocr/office/file/index.html. You can mail it
to:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
You can also send it to a website through the Office for Civil
Rights Complaint Portal, available at
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.
If you need help, call 1-800-368-1019; TTY 800-537-7697. 3
mailto:[email protected]://www.hhs.gov/ocr/office/file/index.htmlhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf
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H5628_NSR_18_MA_801_IDOTHMultiLang 2/26/2018 9843375MED0318
English
ATTENTION: If you speak English, language assistance services,
free of charge, are available to you. Call Member Services at
1-844-239-4913 (TTY: 711).
Spanish
ATENCIÓN: Si usted habla español, tiene servicios de asistencia
lingüística disponibles sin cargo alguno para usted. Llame al
Departamento de Servicios para Miembros al 1-844-239-4913 (TTY:
711).
Chinese
收件人: 如果您講韓語,則免費提供語言協助服務。 請致電會員服務部,電話:1-844-
239-4913 (TTY: 711).
Serbo-Croatian
PAŽNJA: ako govorite srpsko-hrvatski jezik, dostupne su vam
besplatne usluge jezične pomoći. Nazovite usluge za članove na broj
telefona 1-844-239-4913 (TTY: 711).
Korean
주의 : 한국어를 말할 때 무료로 언어 지원 서비스를 이용할 수 있습니다. 현지 시간으로
월요일부터 금요일까지, 오전 8시부터 오후 8시까지 회원 서비스에 1-844-239-4913 (TTY:
711).
Nepali
ÿþýüþûú�ùø÷�öõþé�ûôõþóú�òñðûïîíì�ëûô~�ëþêþ�ÿèùöþ�ÿôýþèç�øÿæåäþ�öõþéóþé�ãõóâ�ìûá�l�1-844-239-4913
(TTY: 711�äþ�ÿ÷à�ÿôýþèçßñ�óþøÞ�ßó�ÞûïÝèñÿá�l
Vietnamese
LƯU Ý: Nếu quý vị nói tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ có
sẵn cho quý vị miễn phí. Gọi cho Dịch Vụ Thành Viên theo số
1-844-239-4913 (TTY: 711).
Arabic
انتباه: إذا كنت من متحدثي اللغة العربیة، فستتوفر لك خدمات
المساعدة اللغویة مجانا. یمكن االتصال بخدمات األعضاء على ً .(TTY:
711) 1-844-239-4913 الرقم
German
ACHTUNG: Für Deutsch sprechende Personen stehen kostenlose
Sprachassistenzsysteme zur Verfügung. Rufen Sie hierzu die
Mitgliederbetreuung unter der Rufnummer 1-844-239-4913 (TTY: 711)
an.
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H5628_NSR_18_MA_801_IDOTHMultiLang 2/26/2018 9843375MED0318
Tagalog
PAUNAWA: Kung gumagamit ka ng wikang Tagalog, maaari kang
humingi ng mga serbisyo ng tulong sa wika nang libre. Tawagan ang
Member Services sa 1-844-239-4913 (TTY: 711).
Russian
ВНИМАНИЕ! Если вы говорите по-русски, вам будут предоставлены
услуги переводчика бесплатно. Позвоните в отделение обслуживания
клиентов по тел.: 1-844-239-4913 (телетайп: 711).
French
ATTENTION : Si vous parlez français, des services d'assistance
linguistique sont gratuitement mis à votre disposition. Contactez
les services aux membres au 1-844-239-4913 (TTY: 711).
Japanese
注:日本語をお話しになる場合は、無料の言語支援サービスをご利用いただけます。メ
ンバーサービス1-844-239-4913 (TTY: 711)までお電話ください。
Romanian ATENȚIE: Dacă vorbiți limba română, vă stau la
dispoziție servicii de asistență lingvistică, în mod gratuit.
Apelați serviciile pentru membri la 1-844-239-4913 (TTY: 711).
Bantu
MENYA NEZA: Nimba ukoresha ururimi rw’ikibantu, ubwunganizi
bw’urwo rurimi uburonswa ku buntu, . Akura abajejwe ivyo bikorwa
kuri 1-844-239-4913 (TTY: 711).
Farsi
اگر بھ زبان فارسی صحبت میکنید، خدمات کمک زبانی، بھ صورت رایگان
در دسترس شما قرار دارند. با خدمات اعضاء از طریق شماره TTY: 711)
1-844-239-4913) تماس بگیرید.
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Y0050_20_MA_74_LRPDIntro_C
Y0050_20_MA_74_LRPDIntro_C es
Molina Medicare Complete Care HMO SNP Plan
Provider Directory
This directory is current as of December 10, 2019. This
directory provides a list of Molina Medicare Complete Care’s
current network providers.
This directory is for the State of Idaho in the counties of Ada,
Bannock, Bingham, Boise,
Bonner, Bonneville, Boundary, Canyon, Cassia, Elmore, Fremont,
Gem, Jefferson, Kootenai,
Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin
Falls.
To access Molina Medicare Complete Care’s online provider
directory, you can visit
MolinaHealthcare.com/IDMaterials. For any questions about the
information contained in this
directory, please call our Member Services Department at (844)
239-4913, 7 days a week, 8 a.m.
to 8 p.m., local time. TTY users should call 711.
This information is available in other formats, such as Braille,
large print, and audio.
6
https://www.molinahealthcare.com/members/id/en-us/mem/medicare/drug/pages/plan-materials.aspx
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Section 1 – Introduction
This directory provides a list of Molina Medicare Complete Care
network providers. To get
detailed information about your health care coverage, please see
your Evidence of Coverage
(EOC).
As a member of Molina Medicare Complete Care you are restricted
to only see providers that are
contracted within this provider-specific plan (PSP). For more
information contact Member
Services.
Network providers are healthcare professionals such as doctors,
medical groups, specialists, and
healthcare facilities (i.e. hospitals, durable medical equipment
suppliers) that are contracted with
Molina Medicare Complete Care to provide you with covered
services. You may use this
directory to help you select a Primary Care Provider,
Specialist, Long-Term Services and
Support Provider, Hospital, Skilled Nursing Facility, Outpatient
Mental Health Provider and/or
Pharmacy.
Choosing your Primary Care Provider (PCP)
You will have to choose one of our network providers listed in
this directory to be your Primary
Care Provider (PCP). Generally, you must get your health care
services from your PCP. Your
PCP can be a physician, physician assistant, nurse practitioner,
or other health care professional
that meet state requirements and is trained to provide you basic
medical care. Healthcare
professionals are eligible to provide you services as a PCP in
our Plan, when they are licensed to
practice in areas such as: family medicine, general practice,
geriatrics, or internal medicine. Once
you have chosen a PCP, please make sure to transfer all of your
medical history to their office, in
order for your PCP to be informed of any medical conditions you
may have. Your PCP can help
coordinate your routine medical care, laboratory tests, x-rays,
therapies, specialty care, hospital
admissions, and appointments.
The network providers listed in this directory have agreed to
provide you with your health care
and supplemental services. You may go to any of our network
providers listed in this directory.
However, some services may require a referral. In most
situations, if you need specialized
treatment your PCP must give you a “referral” to see a network
specialist. If there is a particular
specialist or hospital that you want to use, check first to be
sure that your PCP can make referrals
to that specialist or that hospital. A referral is a written
order from your PCP to see a specialist or
receive other medical services. It is very important you get a
referral from your PCP before you
see a network specialist or other providers. If you do not get a
referral you may have to pay for
these services yourself. However, there are a few exceptions
such as: women’s preventive
healthcare, flu shots, Hepatitis B vaccinations, pneumonia
vaccinations and urgently needed
services.
If you have questions about whether we will pay for a medical
service or care that you are
considering, you have the right to ask us whether we will cover
it before you get the service or
care.
7
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At times, your PCP may request a service that is unavailable or
not provided within our network.
Your PCP may need to get an approval ahead of time from Molina
Medicare Complete Care to
authorize this service referral. This process is called “prior
authorization.” If you have questions
or concerns about a prior authorization, you may call Member
Services.
How to change your PCP?
You may change your PCP for any reason, at any time. To change
your PCP, simply call
Member Services at (844) 239-49137 days a week, 8 a.m. to 8
p.m., local time. TTY users
should call 711. Member Services will verify if your choice of
PCP is accepting new patients.
Once your new PCP has been assigned, you will receive a new
member ID card by mail with
your new PCP’s contact information. If your PCP leaves Molina
Medicare Complete Care, we
will let you know and help you switch to another PCP so that you
can continue to receive
covered services.
Getting care outside the Plan’s service area
You must use network providers except in emergency or urgent
care situations or for out-of-area
renal dialysis or other services. If you obtain routine care
from out-of-network providers, neither
Medicare nor Molina Medicare Complete Care will be responsible
for the costs. However, you
may receive care from out-of-network provider if you are
temporarily outside the Plan’s service
area and cannot get care from a network provider or require
urgently needed services. If you
have questions whether a service is covered when you are outside
the service area, please call
Member Services.
Getting care if you have a medical emergency or an urgent need
for care
A “medical emergency” is when you believe that your health is in
serious danger. A medical
emergency includes severe pain, a bad injury, a sudden illness,
or a medical condition that is
quickly getting much worse. You may get covered emergency
medical care whenever you need,
anywhere in the United States. Call 911 for help or go to the
nearest emergency room, hospital,
or urgent care center. You don’t need to get approval or a
referral first from your doctor or other
network provider.
“Urgent Care” is when you need medical help for an unforeseen
illness, injury, or condition, but
your health is not in serious danger. If you have a pressing,
non-emergency medical need while
in the service area, call your PCP first. If they are not
available, look in this Provider Directory
for an urgent care center. You generally must use network
providers (refer to the Evidence of
Coverage).
Out-Of-Network Provider Bills
If you receive services from out-of-network providers, you may
get billed directly. Do not pay
this bill. Please make a copy for your records and mail the
original statement for processing and
determination of your liability, if any. For more information,
please refer to the EOC in Chapter
7.
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What is the service area for Molina Medicare Complete Care?
The counties in our service area are listed below.
Our service area includes these counties: Ada, Bannock, Bingham,
Boise, Bonner, Bonneville,
Boundary, Canyon, Cassia, Elmore, Fremont, Gem, Jefferson,
Kootenai, Madison, Minidoka,
Nez Perce, Owyhee, Payette, Power, and Twin Falls.
How do you find Molina Medicare Complete Care providers that
serve in
your area?
To help you select a provider near your area, refer to the Table
of Contents in Section 2 at the beginning of this directory. Then,
select a provider type from this list: (Primary Care Provider,
Specialist, Hospital, Skilled Nursing Facility, or Outpatient
Mental Health Provider.) Afterwards,
in alphabetical format, you may locate providers by county,
specialty type (if applicable), city, and zip code.
If you have questions about Molina Medicare Complete Care or
require assistance in selecting a
PCP, please call our Member Services Department at (844)
239-4913, 7 days a week, 8 a.m. to 8
p.m., local time. TTY users should call 711. You can also
visit
MolinaHealthcare.com/Medicare.
If you need help in scheduling appointments, or finding a
provider that is accepting new patients,
please call Member Services at (844) 239-4913, 7 days a week, 8
a.m. to 8 p.m., local time. TTY
users should call 711.
To report any errors throughout this directory, email
[email protected] or call Member
Services by using the front
and back cover contact information.
9
https://www.molinahealthcare.com/medicaremailto:[email protected]
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Molina Medicare Complete Care HMO SNP Plan
Directorio de proveedores
Este directorio entrará en vigencia a partir de 10 diciembre
2019. Este directorio enumera los proveedores actuales de la red
Molina Medicare Complete Care.
Este directorio es para el estado de Idaho, en los condados de
Ada, Bannock, Bingham, Boise,
Bonner, Bonneville, Boundary, Canyon, Cassia, Elmore, Fremont,
Gem, Jefferson, Kootenai,
Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, y Twin
Falls.
Para acceder al directorio de proveedores en línea de Molina
Medicare Complete Care’s, puede
visitar MolinaHealthcare.com/IDMaterials. Si tiene preguntas
acerca de la información que este
directorio contiene, comuníquese con el Departamento de
Servicios para Miembros al (844) 239-
4913, los 7 días de la semana, de 8 a.m. a 8 p.m., hora local.
Los usuarios de TTY deberán llamar
al 711.
Esta información está disponible en otros formatos, como
braille, letra grande y audio.
10
https://www.molinahealthcare.com/members/id/en-us/mem/medicare/drug/pages/plan-materials.aspx
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Sección 1 – Introducción
Este directorio enumera los proveedores actuales de la red
Molina Medicare Complete Care.
Para obtener información detallada acerca de su cobertura de
salud, consulte su Evidencia de
cobertura (EOC).
Como miembro de Molina Medicare Complete Care usted solo puede
consultar a los
proveedores contratados por este plan específico de proveedores
(PSP). Para obtener más
información, llame al Departamento de Servicios para
Miembros.
Los proveedores de la red son profesionales de atención médica,
como médicos, grupos médicos,
especialistas y centros de atención médica (es decir,
hospitales, proveedores de equipos médicos
duraderos) que tienen contrato con Molina Medicare Complete Care
para prestarle los servicios
cubiertos. Puede usar este directorio para elegir un proveedor
de atención primaria, un
especialista, un proveedor de servicios y apoyo a largo plazo,
un hospital, un centro de
enfermería especializada, un proveedor de salud mental para
pacientes ambulatorios o una
farmacia.
Cómo elegir un proveedor de atención primaria (PCP, por sus
siglas en inglés)
Usted tendrá que elegir uno de los proveedores de nuestra red
que se presentan en este directorio
como su proveedor de atención primaria (Primary Care Provider,
PCP). En general, recibirá los
servicios de atención médica de su PCP. Su PCP puede ser un
médico, un médico asociado, un
enfermero practicante u otro profesional de la salud que cumpla
los requisitos estatales y esté
capacitado para brindarle atención médica básica. Los
profesionales de la salud son elegibles
para prestarle servicios como PCP en nuestro plan si tienen
licencia para ejercer en áreas como
las siguientes: medicina de familia, medicina general, geriatría
o medicina interna. Una vez que
haya escogido un PCP, asegúrese de transferir a su consultorio
toda su historia clínica, a fin de
que el PCP esté al tanto de todas las afecciones médicas que
usted pueda tener. Su PCP puede
ayudarle a coordinar su atención médica de rutina con sus
análisis de laboratorio, radiografías,
terapias, atención especializada, admisiones al hospital y citas
médicas.
Los proveedores de la red que aparecen en este directorio han
acordado proporcionarle atención
médica y servicios complementarios. Usted puede recurrir a
cualquiera de los proveedores de la
red que aparecen en este directorio. No obstante, algunos
servicios pueden requerir de una
remisión.
En la mayoría de las situaciones, si necesita un tratamiento
proporcionado por un especialista, su
PCP debe darle una "remisión" para que vaya a ver a un
especialista de la red. Si usted desea
consultar a un especialista o usar un hospital en particular,
asegúrese de verificar primero que su
PCP pueda hacer remisiones a dicho especialista u hospital. Una
remisión es una orden escrita de
su PCP para que vea a un médico especialista o reciba otros
servicios médicos. Es muy
importante que obtenga la remisión de su PCP antes de visitar a
un especialista de la red o a otros
proveedores. Si no obtiene una remisión, es posible que tenga
que pagar por estos servicios usted
mismo. Sin embargo, existen ciertas excepciones, como las
siguientes: atención médica
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preventiva para mujeres, vacunas contra la gripe, vacunas contra
la hepatitis B, vacunas contra la
neumonía y servicios requeridos urgentemente.
Si usted tiene alguna duda sobre si pagaremos por algún servicio
o por la atención médica que
esté considerando, tiene derecho a preguntar si lo cubriremos
antes de recibirlo.
A veces, su PCP puede solicitarle un servicio que no esté
disponible o que no se brinde dentro de
nuestra red. Es posible que su PCP tenga que obtener una
aprobación con anterioridad de parte
de Molina Medicare Complete Care para autorizar la remisión al
servicio. A este proceso se le
llama "autorización previa". Si tiene preguntas o inquietudes
acerca de una autorización previa,
llame al Departamento de Servicios para Miembros.
¿Cómo cambiar su PCP? Puede cambiar de PCP por cualquier razón,
en cualquier momento. Para cambiar su PCP,
solamente debe llamar al Departamento de Servicios para Miembros
al (844) 239-4913 los 7 días
de la semana, de 8 a. m. a 8 p. m., hora local. Los usuarios de
TTY deberán llamar al 711. El
Departamento de Servicios para Miembros verificará si el PCP que
usted eligió acepta nuevos
pacientes. Una vez que se le haya asignado su nuevo PCP,
recibirá una nueva tarjeta de
identificación de miembro por correo con la información de
contacto de su PCP. Si su PCP deja
a Molina Medicare Complete Care, usted será informado y le
ayudaremos con el cambio a otro
PCP a fin de que pueda continuar recibiendo los servicios
cubiertos.
Cómo obtener atención fuera del área del servicio del plan Usted
debe utilizar proveedores de la red excepto en emergencias o
situaciones de atención de
urgencia, o para diálisis renal u otros servicios fuera del
área. Si usted obtiene atención de
proveedores externos a la red, ni Medicare ni Molina Medicare
Complete Care serán
responsables de los costos. Sin embargo, podrá recibir atención
de un proveedor fuera de la red si
se encuentra temporalmente fuera del área de servicio del plan y
no puede obtener atención de un
proveedor de la red, o si requiere servicios urgentes. Si tiene
preguntas acerca de si un servicio
determinado está cubierto cuando se encuentra fuera del área de
servicio, llame al Departamento
de Servicios para Miembros.
Cómo obtener atención si tiene una emergencia médica o una
necesidad
urgente de atención Una "emergencia médica" es cuando usted cree
que su salud está en grave peligro. Una
emergencia médica incluye dolor intenso, una lesión grave, una
enfermedad repentina o una
afección médica que empeore rápidamente. Usted puede obtener
atención médica de emergencia
cubierta cuando lo necesite, en cualquier lugar de los Estados
Unidos. Llame al 911 para obtener
ayuda o acuda a la sala de emergencias, hospital o centro de
atención médica más cercano. No es
necesario que primero obtenga una aprobación o remisión de su
médico u otro proveedor de la
red.
"Atención urgente" es cuando usted necesita ayuda médica debido
a una enfermedad, lesión o
afección no prevista, pero su salud no está en grave peligro. Si
tiene una necesidad médica
apremiante que no constituya una emergencia mientras se
encuentre dentro del área de servicio,
llame primero a su PCP. Si este no se encuentra disponible,
busque un centro de cuidado urgente
12
-
en este directorio de proveedores. En general, deberá usar
proveedores de la red (consulte la
Evidencia de cobertura).
Facturas de proveedores fuera de la red Si recibe servicios de
parte de proveedores que están fuera de la red, es posible que le
facturen
directamente a usted por dichos servicios. No pague esa factura.
Haga una copia para sus
registros y envíe la factura original para que la procesemos y
determinemos la suma por la cual
es responsable, de haberla. Para obtener más información,
consulte el Capítulo 7 de la EOC.
¿Cuál es el área de servicio de Molina Medicare Complete Care? A
continuación se incluyen los condados dentro de nuestra área de
servicio.
Nuestra área de servicio incluye estos condados: Ada, Bannock,
Bingham, Boise, Bonner,
Bonneville, Boundary, Canyon, Cassia, Elmore, Fremont, Gem,
Jefferson, Kootenai, Madison,
Minidoka, Nez Perce, Owyhee, Payette, Power, y Twin Falls.
¿Cómo encontrar a los proveedores Molina Medicare Complete Care
que
trabajan en su área?
Para seleccionar un proveedor que se encuentre en su zona,
consulte el Índice en la Sección 2 al principio de este directorio.
Luego, seleccione un proveedor de esta lista: (Proveedor de
atención
primaria, especialista, hospital, centro de enfermería
especializada o proveedor de salud mental
para pacientes ambulatorios). Después de esto, puede buscar los
proveedores en orden alfabético
por condado, tipo de especialidad (si corresponde), ciudad y
código postal.
Si tiene preguntas sobre Molina Medicare Complete Care o si
requiere ayuda para seleccionar un
PCP, comuníquese con nuestro Departamento de Servicios para
Miembros llamando al (844)
239-4913, los 7 días de la semana, de 8 a.m. a 8 p.m., hora
local. Los usuarios de TTY deberán
llamar al 711. También puede visitar
MolinaHealthcare.com/Medicare.
Si necesita ayuda para programar sus citas o para encontrar un
proveedor que acepte nuevos
pacientes, llame al Departamento de Servicios para Miembros al
(844) 239-4913, los 7 días de la
semana, de 8 a. m. a 8 p. m. hora local. Los usuarios de TTY
deberán llamar al 711.
Para denunciar cualquier error en este directorio, envíe un
mensaje de correo electrónico a
[email protected] o llame al
Departamento de Servicios para
Miembros usando la información de contacto que aparece en la
portada y en la contraportada.
13
https://www.MolinaHealthcare.com/Medicaremailto:[email protected]
-
Provider and Pharmacy Listing Footer Legend
Provider Symbols
Symbol Reference
∆ Offers Telehealth services
~ Accepting New Patients
* Accepts Medicaid
✤ Accessibility parking, building, elevator,
office, exam room and restroom
Pharmacy Symbols: All pharmacies offer extended day supply
unless otherwise noted.
Ө Do not offer Extended Day Supply of
Medication
L Limited Access: Pharmacies may not be
available to all members
Listado de proveedores y farmacias al pie de página
Símbolos del proveedor
Símbolo Referencia
∆ Ofrece servicios de telesalud
~ Aceptando a nuevos pacientes
* Acepta Medicaid
✤ Estacionamiento, instalación, ascensor,
consultorio, cuarto de exploración y baños
accesibles
Símbolos de farmacia: Todas las farmacias ofrecen un suministro
diurno extendido, a menos
que se indique lo contrario.
Ө No se ofrece un suministro diurno extendido
del medicamento.
L Acceso limitado: Es posible que las farmacias
no estén disponibles para todos los miembros
14
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$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Section 2 - List of Network Providers / Sección 2 - Lista de los
proveedores de la red Primary Care Providers / Proveedores de
atención primariaAda County/CondadoTotal Count/Cuenta total:
1556
Idaho
Ada
Abul Husn, Nina, MD~* Family Medicine NPI: 1538421094 Raise The
Bottom Training And Counseling Services 9196 W Barnes Dr Boise, ID
83709 (208) 433-0400 Group(s): Raise The Bottom Training And
Counseling Services, Terry Reilly Health Services Caldwell Clinic
-Mg, 1043230501 Spanish
Allen, Suzanne, MD~ Family Medicine NPI: 1346286044 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Allen, Suzanne, MDb~ Family Medicine NPI: 1346286044 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Allmaras, Tanya, PA~ Physician Assistant NPI: 1427334929 Primary
Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208)
378-8011 Group(s): Kaniksu Health Services 1306883244, Primary
Health Medical Group
Allmaras, Tanya, PA~ Physician Assistant NPI: 1427334929 Primary
Health Medical Group 4971 W Overland Rd Boise, ID 83705 (208)
472-5050 Group(s): Kaniksu Health Services 1306883244, Primary
Health Medical Group
Allmaras, Tanya, PA~ Physician Assistant NPI: 1427334929 Primary
Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208)
378-4288 Group(s): Kaniksu Health Services 1306883244, Primary
Health Medical Group
Alviso, Marvin Anthony, MD~* Family Medicine NPI: 1932365533
Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208)
514-2525 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Filipino
Alviso, Marvin Anthony, MD~* Family Medicine NPI: 1932365533
Family Medicine Health Center 6565 W Emerald St Boise, ID 83704
(208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc -
Medical Group, 1841490075 Filipino
Alviso, Marvin Anthony, MD~* Family Medicine NPI: 1932365533
Family Medicine Health Center 777 N Raymond St Boise, ID 83704
(208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc -
Medical Group, 1841490075 Filipino
Ashby, Laurie, MD~* Family Medicine NPI: 1730169178 Samg
Extensivists 5966 Curtisian Ave Boise, ID 83704 (208) 302-5460
Group(s): Saint Alphonsus Regional Medical Center Physicians -
1861676, St Lukes Clinic Treasure Valley Llc
Ashby, Laurie, MDb~* Family Medicine NPI: 1730169178 St Lukes
Clinic - Capital City Family Medicine 1520 W State St Ste 100
Boise, ID 83702 (208) 947-7700 Group(s): Saint Alphonsus Regional
Medical Center Physicians - 1861676, St Lukes Clinic Treasure
Valley Llc
15
-
a�$FFHSWLQJ�QHZ�SDWLHQWV�$FHSWDQGR�D�QXHYRV�SDFLHQWHV�ÿ
$FFHVVLELOW\�SDUNLQJ��EXLOGLQJ��HOHYDWRU��RIILFH�
$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Astley, Scott, PAb~* Physician Assistant NPI: 1255482683 Direct
Orthopedic Care 1789 S Broadway Ave Ste 100 Boise, ID 83706 (208)
321-4000 Group(s): Direct Orthopedic Care Other Specialties: Z
-Medical - Physician Assistant
Astley, Scott, PAb~* Physician Assistant NPI: 1255482683 Direct
Orthopedic Care 7979 W Rifleman St Boise, ID 83704 (208) 855-2410
Group(s): Direct Orthopedic Care Other Specialties: Z -Medical -
Physician Assistant
Atnip, Elizabeth, MDb~* Family Medicine NPI: 1730568262 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Axtell, Ricky, MDb~* Family Medicine NPI: 1548482771 St Luke’S
Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID
83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley
Llc
Bailey, Justin, MD~* Family Medicine NPI: 1659484509 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Bailey, Justin, MD~* Family Medicine NPI: 1659484509 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Baker, Bridgette, MD~* Family Medicine NPI: 1265693386 First
Choice Healthcare 12400 W Overland Rd Ste 100 Ste 100 Boise, ID
83709 (208) 322-7061 Group(s): Doctors House Calls Llc
Balinger, Adam, MD~ Internal Medicine NPI: 1588981609 St Lukes
Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Ballance, David, MD~* Family Medicine NPI: 1881654820 Family
Health Care 1075 N Curtis Rd Ste 100 Boise, ID 83706 (208) 377-5166
Group(s): Family Health Care
Barinaga, Mary, MD~* Family Medicine NPI: 1801882881 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Barinaga, Mary, MD~* Family Medicine NPI: 1801882881 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Barnes, Darryl, PA~* Physician Assistant NPI: 1891733663 Primary
Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208)
378-8011 Group(s): Primary Health Medical Group Other Specialties:
Z -Medical - Physician Assistant
Barnes, Darryl, PA~* Physician Assistant NPI: 1891733663 Primary
Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706
(208) 345-1222 Group(s): Primary Health Medical Group Other
Specialties: Z -Medical - Physician Assistant
16
-
a�$FFHSWLQJ�QHZ�SDWLHQWV�$FHSWDQGR�D�QXHYRV�SDFLHQWHV�ÿ
$FFHVVLELOW\�SDUNLQJ��EXLOGLQJ��HOHYDWRU��RIILFH�
$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Barnes, Darryl, PA~* Physician Assistant NPI: 1891733663 Primary
Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208)
378-4288 Group(s): Primary Health Medical Group Other Specialties:
Z -Medical - Physician Assistant
Barnes, Daryn, PA~* Physician Assistant NPI: 1245321942 Primary
Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID
83702 (208) 472-9082 Group(s): Primary Health Medical Group Other
Specialties: Z -Medical - Physician Assistant
Barnes, Daryn, PAb~* Physician Assistant NPI: 1245321942 Primary
Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947
Group(s): Primary Health Medical Group Other Specialties: Z
-Medical - Physician Assistant
Barron, Gregory, NPb~* Family Medicine NPI: 1932447695 Pioneer
Family Medicine 13150 W Persimmon Ln Boise, ID 83713 (208) 938-3663
Group(s): D&G Medical Associates Pllc, Pioneer Family Medicine
Other Specialties: Nurse Practitioner - Family
Barrus, Paul, DO~* Family Medicine NPI: 1114926136 Terry Reilly
Medical Dental And Behavioral Health 848 S La Cassia Dr Boise, ID
83705 (208) 344-0086 Group(s): Terry Reilly Health Services -
Medical Group, Terry Reilly Health Services - Medical Group,
1952756884, Terry Reilly Health Services Caldwell Clinic - Mg,
1043230501 Spanish, French
Bartels, Josef, MDb~* Family Medicine NPI: 1912355462 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075, Saint Alphonsus Regional Medical Center
Physicians- 1861676
Basaldua, Charalee, MD~* Family Medicine NPI: 1609036086 Primary
Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208)
378-4288 Group(s): Primary Health Medical Group
Bastian, Allison, MD~* Family Medicine NPI: 1164862058 Family
Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525
Group(s): Family Medicine Residency Of Idaho Inc - Medical Group,
1841490075 Spanish
Bastian, Allison, MD~* Family Medicine NPI: 1164862058 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Bastian, Allison, MDb~* Family Medicine NPI: 1164862058 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Bateman, Wade, MDb~* Family Medicine NPI: 1730131038 St Lukes
Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713
(208) 375-4955 Group(s): St Lukes Clinic Treasure Valley Llc
17
-
a�$FFHSWLQJ�QHZ�SDWLHQWV�$FHSWDQGR�D�QXHYRV�SDFLHQWHV�ÿ
$FFHVVLELOW\�SDUNLQJ��EXLOGLQJ��HOHYDWRU��RIILFH�
$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Baugher, Ryan, DO~* Family Medicine NPI: 1033595905 Primary
Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947
Group(s): Primary Health Medical Group
Baxter, Susan, MDb~* Internal Medicine NPI: 1417959842 St Lukes
Clinic - Internal Medicine 4840 N Cloverdale Rd Boise, ID 83713
(208) 706-8000 Group(s): St Lukes Clinic Treasure Valley Llc Sign
Language
Beach, Ann, MD~* Family Medicine NPI: 1912968892 Family Medicine
Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500
Group(s): Family Medicine Residency Of Idaho Inc - Medical Group,
1841490075 Spanish
Beach, Kelly, PA~* Physician Assistant NPI: 1649668765 Primary
Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208)
378-8011 Group(s): Primary Health Medical Group
Beach, Kelly, PA~* Physician Assistant NPI: 1649668765 Primary
Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706
(208) 345-1222 Group(s): Primary Health Medical Group
Beach, Kelly, PA~* Physician Assistant NPI: 1649668765 Primary
Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID
83702 (208) 472-9082 Group(s): Primary Health Medical Group
Beach, Kelly, PAb~* Physician Assistant NPI: 1649668765 Primary
Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947
Group(s): Primary Health Medical Group
Belzer, Bruce, MDb* Family Medicine NPI: 1083666382 Primary
Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947
Group(s): Primary Health Medical Group
Biggerstaff, Jennifer, MD~* Family Medicine NPI: 1861690745 Samg
Federal Way Travel Medicine 1880 W Judith Ln Boise, ID 83705 (208)
302-5200 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Birch, Christine, PA~* Physician Assistant NPI: 1871912634
Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713
(208) 378-8011 Group(s): Primary Health Medical Group
Birch, Christine, PA~* Physician Assistant NPI: 1871912634
Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise,
ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group
Birch, Michele, NP* Family Medicine NPI: 1134608177 St Lukes
Clinic Mountain View Medical Center 3301 N Sawgrass Way Boise, ID
83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley
Llc
Blough, Susan, MDb~* Internal Medicine NPI: 1336197870 St Lukes
Clinic - Internal Medicine 701 E Parkcenter Blvd Boise, ID 83706
(208) 381-6400 Group(s): St Lukes Clinic Treasure Valley Llc
French
Boettiger, Taylor, MD~ Internal Medicine NPI: 1902036361 St
Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Bollinger, William, MDb~* Internal Medicine NPI: 1942258439 St
Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 300 Boise,
ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley
Llc
Bollinger, William, MDb~* Internal Medicine NPI: 1942258439 St
Lukes Mountain States Tumor Institute 100 E Idaho St Boise, ID
83712 (208) 381-2711 Group(s): St Lukes Clinic Treasure Valley
Llc
18
-
a�$FFHSWLQJ�QHZ�SDWLHQWV�$FHSWDQGR�D�QXHYRV�SDFLHQWHV�ÿ
$FFHVVLELOW\�SDUNLQJ��EXLOGLQJ��HOHYDWRU��RIILFH�
$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Boutkaska, Jude, PAb~ Physician Assistant NPI: 1801948591 Sage
Health Care 413 N Allumbaugh St Ste 101 Boise, ID 83704 (208)
323-1125 Group(s): Sage Health Care Other Specialties: Z -Medical -
Physician Assistant
Box, Lesleigh, MD~* Internal Medicine NPI: 1720064785 Samg
Federal Way Family Med 1880 W Judith Ln Boise, ID 83705 (208)
302-5200 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676, St Lukes Clinic Treasure Valley Llc
Box, Lesleigh, MD~* Internal Medicine NPI: 1720064785 St Lukes
Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676, St Lukes Clinic Treasure Valley Llc
Briggs, Jessica, PAb~* Physician Assistant NPI: 1053311084 St
Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100
Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure
Valley Llc Other Specialties: Z -Medical - Physician Assistant
Bronner, Jason, MDb~* Internal Medicine NPI: 1245267541 St Lukes
Clinic - Internal Medicine 4840 N Cloverdale Rd Boise, ID 83713
(208) 706-8000 Group(s): St Lukes Clinic Treasure Valley Llc
Bruce, Jessica, NPb~* Nurse Practitioner NPI: 1205029162 St
Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 201 Boise,
ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley
Llc
Bryan, Thornton, MDb~* Family Medicine NPI: 1003808924 St Lukes
Clinic Family Medicine 701 E Parkcenter Blvd Boise, ID 83706 (208)
381-6500 Group(s): St Lukes Clinic Treasure Valley Llc
Burgess, Anne, MD~* Family Medicine NPI: 1194767178 Samg
Overland Family Medicine 10255 W Overland Rd Boise, ID 83709 (208)
302-5600 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Burke, Ryan, PA~* Physician Assistant NPI: 1194132860 Primary
Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208)
378-8011 Group(s): Primary Health Medical Group
Cadwallader, Kara, MDb* Family Medicine NPI: 1669414728 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Carlson, Chelsea, MD~* Family Medicine NPI: 1396156675 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Carmichael, Lindsey, PAb~* Physician Assistant NPI: 1285904144
Direct Orthopedic Care 1789 S Broadway Ave Ste 100 Boise, ID 83706
(208) 321-4000 Group(s): Allied Orthopedics, Direct Orthopedic Care
Other Specialties: Z -Medical - Physician Assistant
Carrasco, Alicia, MDb~* Internal Medicine NPI: 1124319421 Terry
Reilly Health Services Boise Clinic 300 S 23rd St Boise, ID 83702
(208) 344-3512 Group(s): Terry Reilly Health Services Boise Clinic
- Medical Group Spanish
19
-
a�$FFHSWLQJ�QHZ�SDWLHQWV�$FHSWDQGR�D�QXHYRV�SDFLHQWHV�ÿ
$FFHVVLELOW\�SDUNLQJ��EXLOGLQJ��HOHYDWRU��RIILFH�
$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Case, Shanna, MD~ Internal Medicine NPI: 1205004215 St Lukes
Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Castellano, Patrick, PA~* Family Medicine NPI: 1689856809
Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise,
ID 83702 (208) 472-9082 Group(s): Direct Orthopedic Care, Primary
Health Medical Group Other Specialties: Z -Medical - Physician
Assistant
Chasin, Judith, MDb~* Family Medicine NPI: 1427256841 St Lukes
Clinic - Capital City Family Medicine 1520 W State St Ste 100
Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure
Valley Llc Spanish
Chong, Joshua, DO~* Family Medicine NPI: 1326431198 Samg W
Emerald Family Medicine 6051 W Emerald St Boise, ID 83704 (208)
302-5100 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Chorn, Andy, PAb~* Physician Assistant NPI: 1205111390 Direct
Orthopedic Care 1789 S Broadway Ave Ste 100 Boise, ID 83706 (208)
321-4000 Group(s): Direct Orthopedic Care
Christensen, Scott, MDb~* Family Medicine NPI: 1578719027 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075, Health West Inc - Medical Group, Health West Isu
Clinic 1912261413 Spanish, Portuguese
Clark, Juliet, PA~* Family Medicine NPI: 1649214131 Samg
Overland Family Medicine 10255 W Overland Rd Boise, ID 83709 (208)
302-5600 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Clark, Megan, PA~* Physician Assistant NPI: 1285109942 Corporate
Wellness Clinic 1055 N Curtis Rd Boise, ID 83706 (208) 367-6225
Group(s): Saint Alphonsus Regional Medical Center Physicians -
1861676, Sawtooth Epidemiology And Infectious Diseases Pc
Cliften, Peter, MD~ Internal Medicine NPI: 1760473771 St Lukes
Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Coate, Katherine, NPb~* Nurse Practitioner NPI: 1619939451
Neighborhood Clinic 2036 N Cole Rd Boise, ID 83704 (208) 375-0722
Group(s): Neighborhood Clinic
Colson, Kathryn, PAb~* Physician Assistant NPI: 1457363970 The
Shoulder Clinic Of Idaho 8854 W Emerald Ste 102 Boise, ID 83704
(208) 323-4747 Group(s): The Shoulder Clinic Of Idaho Other
Specialties: Z -Medical - Physician Assistant
Colson, Loren, DO~* Family Medicine NPI: 1629457155 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Colson, Loren, DOb~* Family Medicine NPI: 1629457155 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
20
-
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$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Cook, Jennifer, MD~* Family Medicine NPI: 1265680417 Family
Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525
Group(s): Family Medicine Residency Of Idaho Inc - Medical Group,
1841490075
Cook, Jennifer, MD~* Family Medicine NPI: 1265680417 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075
Cook, Jennifer, MD~* Family Medicine NPI: 1265680417 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075
Crawford, Christian, PA~* Physician Assistant NPI: 1427303478
Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713
(208) 378-8011 Group(s): Primary Health Medical Group
Crawford, Christian, PA~* Physician Assistant NPI: 1427303478
Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise,
ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group
Crawford, Christian, PAb~* Physician Assistant NPI: 1427303478
Primary Health Medical Group 6052 W State St Boise, ID 83703 (208)
947-1947 Group(s): Primary Health Medical Group
Cron, Andrew, MDb~* Family Medicine NPI: 1497707897 St Lukes
Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713
(208) 375-4955 Group(s): St Lukes Clinic Treasure Valley Llc,
Summit Family Health
Crosland, Laron, MDb~* Family Medicine NPI: 1134363625 St Lukes
Clinic - Family Medicine 701 E Parkcenter Blvd Boise, ID 83706
(208) 381-6500 Group(s): St Lukes Clinic Treasure Valley Llc
Spanish
Crouch, Robert, DO~* Family Medicine NPI: 1164801692 Family
Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525
Group(s): Family Medicine Residency Of Idaho Inc - Medical Group,
1841490075 Spanish
Culbertson, Eric, PA~* Physician Assistant NPI: 1134358104 The
Pain Center 633 N 4th St Boise, ID 83702 (208) 342-9800 Group(s):
The Pain Center Other Specialties: Z -Medical - Physician Assistant
Tagalog
Curran, Laura, NPb~* Family Medicine NPI: 1982115309 Pioneer
Family Medicine 13150 W Persimmon Ln Boise, ID 83713 (208) 938-3663
Group(s): Pioneer Family Medicine Other Specialties: Nurse
Practitioner - Gerontology
Cyprus, Idalyn, MDb~* Family Medicine NPI: 1245210228 St Lukes
Clinic - Capital City Family Medicine 1520 W State St Ste 100
Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure
Valley Llc
21
-
a�$FFHSWLQJ�QHZ�SDWLHQWV�$FHSWDQGR�D�QXHYRV�SDFLHQWHV�ÿ
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$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Davids, Abby, MD~* Family Medicine NPI: 1780970491 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Davis, Charles, DO~* Family Medicine NPI: 1104877364 Samg W
Emerald Family Medicine 6051 W Emerald St Boise, ID 83704 (208)
302-5100 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Deblieck, Timothy, MD~* Family Medicine NPI: 1114961042 Family
Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525
Group(s): Family Medicine Residency Of Idaho Inc - Medical Group,
1841490075 Spanish
Deblieck, Timothy, MD~* Family Medicine NPI: 1114961042 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Deblieck, Timothy, MDb~* Family Medicine NPI: 1114961042 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Defrang, Caroline, MD~ Internal Medicine NPI: 1699724690 St
Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Devitt, Angeline, MD~* Family Medicine NPI: 1659324358 Samg Bhp
Family Medicine 2141 E Parkcenter Blvd Boise, ID 83706 (208)
302-5000 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Devlin, Katherine, NP~* Family Medicine NPI: 1366620825 Samg
Federal Way Family Med 1880 W Judith Ln Boise, ID 83705 (208)
302-5200 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Dillion-Bialobrzeski, April, DO* Family Medicine NPI: 1033329842
Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713
(208) 378-8011 Group(s): Primary Health Medical Group
Dillion-Bialobrzeski, April, DO* Family Medicine NPI: 1033329842
Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise,
ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group
Dockter, Lisa, MD~* Family Medicine NPI: 1285689034 Primary
Health Medical Group 3280 E Lanark Drive Boise, ID 83704 (208)
895-6870 Group(s): Primary Health Medical Group Spanish
Domangue-Shiflett, Natalie, MDb~* Family Medicine NPI:
1376510123 Pioneer Family Medicine 13150 W Persimmon Ln Boise, ID
83713 (208) 938-3663 Group(s): Pioneer Family Medicine
Donovan, Jodie, MDb~* Internal Medicine NPI: 1295027688 St Lukes
Clinic - Internal Medicine 300 E Jefferson St Ste 300 Boise, ID
83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley
Llc
22
-
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$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Doyle, Catherine, MDb~* Family Medicine NPI: 1952712242 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075, St Lukes Clinic Llc - Medical Group
Dsouza, Sherwin, MDb~* Internal Medicine NPI: 1225061351 St
Lukes Clinic -Humphreys Diabetes 1226 W River St Boise, ID 83702
(208) 331-1155 Group(s): St Lukes Clinic Treasure Valley Llc
Hindi
Dsouza, Sherwin, MDb~* Internal Medicine NPI: 1225061351 St
Lukes Clinic - Idaho Endocrinology 403 S 11th St Ste 100 Boise, ID
83702 (208) 429-0300 Group(s): St Lukes Clinic Treasure Valley Llc
Hindi
Durham, Joshua, DO~* Family Medicine NPI: 1013194208 Samg
Mcmillan Family Medicine 12273 W Mcmillan Rd Boise, ID 83713 (208)
302-5500 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Edwards, Jeffrey, MD~* Family Medicine NPI: 1578566253 Family
Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525
Group(s): Family Medicine Residency Of Idaho Inc - Medical Group,
1841490075 Spanish, French
Edwards, Jeffrey, MDb~* Family Medicine NPI: 1578566253 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish, French
England, Benjamin, MD~ Internal Medicine NPI: 1114916186 St
Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Epperly, Ted, MDb~* Family Medicine NPI: 1134176548 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Epperson, Aaron, PAb~* Physician Assistant NPI: 1114056132
Primary Health Medical Group 6052 W State St Boise, ID 83703 (208)
947-1947 Group(s): Primary Health Medical Group
Epperson, Aaron, PA~* Physician Assistant NPI: 1114056132
Primary Health Medical Group 8971 W Overland Rd Boise, ID 83709
(208) 378-4288 Group(s): Primary Health Medical Group
Erbele, Tara, MDb~* Family Medicine NPI: 1427081744 St Lukes
Clinic - Capital City Family Medicine 1520 W State St Ste 100
Boise, ID 83702 (208) 947-7700 Group(s): Lyon Medical, St Lukes
Clinic Treasure Valley Llc
Erbele, Tara, MDb~* Family Medicine NPI: 1427081744 Womens
Health Associates 333 N 1st St Ste 240 Boise, ID 83702 (208)
338-8900 Group(s): Lyon Medical, St Lukes Clinic Treasure Valley
Llc
Erwin, Ann, MDb~* Family Medicine NPI: 1851494223 St Lukes
Clinic - Idaho Family Physicians 130 E Boise Ave Boise, ID 83706
(208) 345-4066 Group(s): St Lukes Clinic Treasure Valley Llc
23
-
a�$FFHSWLQJ�QHZ�SDWLHQWV�$FHSWDQGR�D�QXHYRV�SDFLHQWHV�ÿ
$FFHVVLELOW\�SDUNLQJ��EXLOGLQJ��HOHYDWRU��RIILFH�
$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Esplin, Andrea, MD~* Family Medicine NPI: 1508177684 Family
Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525
Group(s): Family Medicine Residency Of Idaho Inc - Medical Group,
1841490075 Spanish
Esplin, Andrea, MD~* Family Medicine NPI: 1508177684 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Esplin, Andrea, MD~* Family Medicine NPI: 1508177684 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Ewings, Maria, MDb~* Internal Medicine NPI: 1255422747 St Lukes
Clinic - Internal Medicine 4840 N Cloverdale Rd Boise, ID 83713
(208) 706-8000 Group(s): St Lukes Clinic Treasure Valley Llc
Fernandez Brandt, Melina, MD~ Internal Medicine NPI: 1366605180
St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712
(208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Spanish, Portuguese
Figueroa, April, NPb* Nurse Practitioner NPI: 1982952529 St
Lukes Childrens -Treasure Valley Pediatrics 100 E Idaho St Ste 401
Boise, ID 83712 (208) 345-0715 Group(s): St Lukes Clinic Treasure
Valley Llc
Freeman, Leah, DOb~* Family Medicine NPI: 1124464615 St Lukes
Clinic - Family Medicine 701 E Parkcenter Blvd Boise, ID 83706
(208) 381-6500 Group(s): St Lukes Clinic Treasure Valley Llc
Spanish
Gallafent, James, MDb~* Internal Medicine NPI: 1518077437 St
Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 201 Boise,
ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley
Llc French
Gallafent, James, MD~* Internal Medicine NPI: 1518077437 St
Lukes Clinic Palliative Medicine 1000 E Park Blvd Ste 120 Boise, ID
83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc
French
Gendler, Julie, MD~* Family Medicine NPI: 1932146388 Family
Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525
Group(s): Family Medicine Residency Of Idaho Inc - Medical Group,
1841490075 Spanish
Gendler, Julie, MDb~* Family Medicine NPI: 1932146388 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Gerrish, Sarah, MD~* Family Medicine NPI: 1982832176 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075, St Lukes Clinic Treasure Valley Llc
Giffen, J Perry, MDb~* Internal Medicine NPI: 1275583643 St
Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
24
-
a�$FFHSWLQJ�QHZ�SDWLHQWV�$FHSWDQGR�D�QXHYRV�SDFLHQWHV�ÿ
$FFHVVLELOW\�SDUNLQJ��EXLOGLQJ��HOHYDWRU��RIILFH�
$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Giffen, Sheila, MD~* Family Medicine NPI: 1013957802 Samg
Extensivists 5966 Curtisian Ave Boise, ID 83704 (208) 302-5460
Group(s): Saint Alphonsus Regional Medical Center Physicians -
1861676
Glass, Justin, MDb~* Family Medicine NPI: 1194820852 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075
Gorham, Amber, PAb~* Internal Medicine NPI: 1881718880 Womens
Health Associates 333 N 1st St Ste 240 Boise, ID 83702 (208)
338-8900 Group(s): St Lukes Clinic Treasure Valley Llc, Womens
Health Associates Pllc Other Specialties: Physician Assistant
Grooms, Shanda, MD~ Internal Medicine NPI: 1750330080 St Lukes
Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Guicheteau, John, MD~* Internal Medicine NPI: 1902840473 Samg
Internal Med And Geriatrics 5966 W Curtisian Ave Boise, ID 83704
(208) 302-5400 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Hamblin, Derek, MD~* Family Medicine NPI: 1790713204 Primary
Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706
(208) 345-1222 Group(s): Primary Health Medical Group
Hamblin, Derek, MD~* Family Medicine NPI: 1790713204 Primary
Health Medical Group 3280 E Lanark Drive Boise, ID 83704 (208)
895-6870 Group(s): Primary Health Medical Group
Hamblin, Derek, MD~* Family Medicine NPI: 1790713204 Primary
Health Medical Group 4971 W Overland Rd Boise, ID 83705 (208)
472-5050 Group(s): Primary Health Medical Group
Hamblin, Derek, MD~* Family Medicine NPI: 1790713204 Primary
Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947
Group(s): Primary Health Medical Group
Hartman, D David, MD* Family Medicine NPI: 1588669410 Primary
Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706
(208) 345-1222 Group(s): Primary Health Medical Group
Henao, Gloria, MD~* Internal Medicine NPI: 1306036835 St Lukes
Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): Apogee Medical Group Idaho Pc, St Lukes Clinic
Treasure Valley Llc Spanish
Henkle, Sarah, MD~* Family Medicine NPI: 1295146587 Family
Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525
Group(s): Family Medicine Residency Of Idaho Inc - Medical Group,
1841490075 Spanish, French
Henkle, Sarah, MD~* Family Medicine NPI: 1295146587 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish, French
Henkle, Sarah, MD~* Family Medicine NPI: 1295146587 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish, French
25
-
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$FFHVVLELOW\�SDUNLQJ��EXLOGLQJ��HOHYDWRU��RIILFH�
$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Hippe, Scott, MD~* Family Medicine NPI: 1730537218 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075
Hoffman, Christina, NP~* Nurse Practitioner NPI: 1164898201
Primary Health Medical Group 4971 W Overland Rd Boise, ID 83705
(208) 472-5050 Group(s): Primary Health Medical Group
Holbrook, Mark, MDb~* Internal Medicine NPI: 1205884616 St Lukes
Clinic - Internal Medicine 4840 N Cloverdale Rd Boise, ID 83713
(208) 706-8000 Group(s): St Lukes Clinic Treasure Valley Llc
Holliday, Jennifer, MDb~* Family Medicine NPI: 1538320676 St
Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100
Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure
Valley Llc
Hollopeter, Sarah, MD~* Family Medicine NPI: 1144243619 Samg
Federal Way Family Med 1880 W Judith Ln Boise, ID 83705 (208)
302-5200 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Hudon, Tyler, MD~* Family Medicine NPI: 1295097012 Primary
Health Medical Group 3280 E Lanark Drive Boise, ID 83704 (208)
895-6870 Group(s): Primary Health Medical Group Spanish
Isaacson, Ronnie, PA~* Physician Assistant NPI: 1275007965
Ambitions Of Idaho 6550 Emerald St Ste 108 Boise, ID 83704 (208)
344-2228 Group(s): Ambitions Of Idaho - Medical Group
Jackson, Derek, MDb* Family Medicine NPI: 1225299357 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075 Spanish
Johnson, Gregory, MDb~* Family Medicine NPI: 1508969973 St Lukes
Clinic - Idaho Family Physicians 130 E Boise Ave Boise, ID 83706
(208) 345-4066 Group(s): St Lukes Clinic Treasure Valley Llc
Johnson, Shae, DO~* Family Medicine NPI: 1669588315 Samg W
Emerald Family Medicine 6051 W Emerald St Boise, ID 83704 (208)
302-5100 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Johnson, Troy, MD~ Internal Medicine NPI: 1740422757 St Lukes
Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc Spanish
Jordan, Anthony, MDb~* Family Medicine NPI: 1144212549 St Lukes
Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713
(208) 375-4955 Group(s): St Lukes Clinic Treasure Valley Llc
Judy, Elizabeth, PAb~* Physician Assistant NPI: 1083123277 Boise
Family Medicine 10798 W Overland Rd Boise, ID 83709 (208) 377-3368
Group(s): Boise Family Medicine
26
-
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$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Kantayya, Vivek, MDb~* Family Medicine NPI: 1437132479 Terry
Reilly Health Services Boise Clinic 300 S 23rd St Boise, ID 83702
(208) 344-3512 Group(s): Terry Reilly Health Services - Medical
Group, Terry Reilly Health Services - Medical Group, 1952756884,
Terry Reilly Health Services Boise Clinic - Medical Group Tamil
Kantayya, Vivek, MD~* Family Medicine NPI: 1437132479 Terry
Reilly Medical Dental And Behavioral Health 848 S La Cassia Dr
Boise, ID 83705 (208) 344-0086 Group(s): Terry Reilly Health
Services - Medical Group, Terry Reilly Health Services - Medical
Group, 1952756884, Terry Reilly Health Services Boise Clinic -
Medical Group Tamil
Karas, Daria, PA~* Family Medicine NPI: 1174993463 Samg Bhp
Urgent Care 2141 E Parkcenter Blvd Boise, ID 83706 (208) 302-5050
Group(s): Saint Alphonsus Regional Medical Center Physicians -
1861676 Hebrew, Russian
Karas, Daria, PA~* Family Medicine NPI: 1174993463 Samg Findley
Urgent Care 3587 S Federal Way Boise, ID 83705 (208) 302-5350
Group(s): Saint Alphonsus Regional Medical Center Physicians -
1861676 Hebrew, Russian
Karas, Daria, PA~* Family Medicine NPI: 1174993463 Samg Lake
Hazel Urgent Care 10583 W Lake Hazel Rd Boise, ID 83709 (208)
302-5950 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676 Hebrew, Russian
Karas, Daria, PA~* Family Medicine NPI: 1174993463 Samg Overland
Family Medicine 10255 W Overland Rd Boise, ID 83709 (208) 302-5600
Group(s): Saint Alphonsus Regional Medical Center Physicians -
1861676 Hebrew, Russian
Karas, Daria, PA~* Family Medicine NPI: 1174993463 Samg W
Emerald Ortho Urgent Care 6051 W Emerald St Boise, ID 83704 (208)
302-5150 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676 Hebrew, Russian
Kern, Lisa, MD~* Family Medicine NPI: 1588618219 Samg Bhp Family
Medicine 2141 E Parkcenter Blvd Boise, ID 83706 (208) 302-5000
Group(s): Saint Alphonsus Regional Medical Center Physicians -
1861676
King, Ashley, MDb~* Family Medicine NPI: 1235440314 St Lukes
Clinic - Capital City Family Medicine 1520 W State St Ste 100
Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure
Valley Llc
Kipp, Adam, MDb~* Family Medicine NPI: 1982968665 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical
Group, 1841490075
Kittelson, Brian, NPb~* Family Medicine NPI: 1730234345 Saltzer
Clinics 7272 W Potomac Dr Boise, ID 83704 (208) 884-2922 Group(s):
Saltzer Clinics Other Specialties: Nurse Practitioner - Family
Kocemba, Russell, MDb~* Family Medicine NPI: 1588629406 St
Luke’S Clinic –Mountain View Medical Center 3301 N Sawgrass Wy
Boise, ID 83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure
Valley Llc
27
-
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Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Kohler, Gretchen, MDb~* Internal Medicine NPI: 1982698502 St
Lukes Clinic - Internal Medicine 4840 N Cloverdale Rd Boise, ID
83713 (208) 706-8000 Group(s): St Lukes Clinic Treasure Valley
Llc
Kolb, Jason, PA~* Physician Assistant NPI: 1992215545 Primary
Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID
83702 (208) 472-9082 Group(s): Primary Health Medical Group, Saint
Alphonsus Regional Medical Center Physicians- 1861676
Kolb, Jason, PAb~* Physician Assistant NPI: 1992215545 Primary
Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947
Group(s): Primary Health Medical Group, Saint Alphonsus Regional
Medical Center Physicians- 1861676
Komori, Allyson, DOb~* Internal Medicine NPI: 1679869473 St
Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Konrad, Jill, NP~* Family Medicine NPI: 1396261129 Samg Overland
Family Medicine 10255 W Overland Rd Boise, ID 83709 (208) 302-5600
Group(s): Saint Alphonsus Regional Medical Center Physicians -
1861676
Kornfield, Lee, MDb~* Internal Medicine NPI: 1275527186 St Lukes
Clinic - Internal Medicine 600 N Robbins Rd Ste 301 Boise, ID 83702
(208) 385-3329 Group(s): St Lukes Clinic Treasure Valley Llc
Kracke, Elsa, MDb~* Family Medicine NPI: 1053707935 St Lukes
Clinic Family Medicine 701 E Parkcenter Blvd Boise, ID 83706 (208)
381-6500 Group(s): St Lukes Clinic Treasure Valley Llc
Kroll, Becky, MDb~* Family Medicine NPI: 1457648230 St Luke’S
Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID
83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley
Llc
Kuntz, Kara, MD~* Internal Medicine NPI: 1891057246 Samg
Geriatrics Clinic 5966 W Curtisian Ave Boise, ID 83704 (208)
302-5470 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Lafleur, Nicole, MD~* Family Medicine NPI: 1558370254 Primary
Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208)
378-4288 Group(s): Primary Health Medical Group
Lamb, Sean, PA~* Physician Assistant NPI: 1053763896 Primary
Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208)
378-4288 Group(s): Primary Health Medical Group
Lane, Megan, PA~* Physician Assistant NPI: 1326380544 Samg Bhp
Urgent Care 2141 E Parkcenter Blvd Boise, ID 83706 (208) 302-5050
Group(s): Idaho Arthritis Center, Saint Alphonsus Regional Medical
Center Physicians - 1861676
Lane, Megan, PA~* Physician Assistant NPI: 1326380544 Samg Lake
Hazel Urgent Care 10583 W Lake Hazel Rd Boise, ID 83709 (208)
302-5950 Group(s): Idaho Arthritis Center, Saint Alphonsus Regional
Medical Center Physicians - 1861676
Leavitt, Josh, DO~* Family Medicine NPI: 1174834246 Lifeways
8050 W Northview St Boise, ID 83704 (208) 327-0504 Group(s):
Lifeways Inc
Leonard, Bryce, PA~* Physician Assistant NPI: 1356743843 Primary
Health Medical Group 4971 W Overland Rd Boise, ID 83705 (208)
472-5050 Group(s): Primary Health Medical Group, St Lukes Clinic
Treasure Valley Llc
28
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$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Lewis, Erika, MDb* Internal Medicine NPI: 1659320570 St Lukes
Clinic - Internal Medicine 300 E Jefferson St Ste 300 Boise, ID
83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley
Llc
Loegering, Michael, NPb~* Nurse Practitioner NPI: 1821038704
Sage Health Care 413 N Allumbaugh St Ste 101 Boise, ID 83704 (208)
323-1125 Group(s): Sage Health Care
Loewenstein, Timothy, PA* Physician Assistant NPI: 1376597377
Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713
(208) 378-8011 Group(s): Primary Health Medical Group Other
Specialties: Z -Medical - Physician Assistant
Loewenstein, Timothy, PA* Physician Assistant NPI: 1376597377
Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise,
ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group
Other Specialties: Z -Medical - Physician Assistant
Loewenstein, Timothy, PA~* Physician Assistant NPI: 1376597377
Primary Health Medical Group 3280 E Lanark Drive Boise, ID 83704
(208) 895-6870 Group(s): Primary Health Medical Group Other
Specialties: Z -Medical - Physician Assistant
Loewenstein, Timothy, PAb* Physician Assistant NPI: 1376597377
Primary Health Medical Group 6052 W State St Boise, ID 83703 (208)
947-1947 Group(s): Primary Health Medical Group Other Specialties:
Z -Medical - Physician Assistant
Long, Stephanie, MD~ Family Medicine NPI: 1043448236 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500
Lucas, Jennifer, PAb~* Physician Assistant NPI: 1356893549
Direct Orthopedic Care 7979 W Rifleman St Boise, ID 83704 (208)
855-2410 Group(s): Direct Orthopedic Care, St Lukes Clinic Treasure
Valley Llc
Lucas, Jennifer, PAb* Physician Assistant NPI: 1356893549 St
Lukes Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID
83713 (208) 375-4955 Group(s): Direct Orthopedic Care, St Lukes
Clinic Treasure Valley Llc
Ludwig, Jason, DOb~* Family Medicine NPI: 1144258534 Pioneer
Family Medicine 13150 W Persimmon Ln Boise, ID 83713 (208) 938-3663
Group(s): Genesis Elder Care Physician Services Inc, Gps Physician
Group Pc, Pioneer Family Medicine
Maffey, Jenna, PA~* Physician Assistant NPI: 1467787598 Primary
Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208)
378-8011 Group(s): Primary Health Medical Group Other Specialties:
Z -Medical - Physician Assistant
Maier, Eric, MDb~* Family Medicine NPI: 1831154707 St Luke’S
Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID
83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley
Llc
Maier, Michael, MDb~* Family Medicine NPI: 1912963828 St Luke’S
Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID
83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley
Llc
29
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$FFHSWV�0HGLFDLG�$FHSWD�0HGLFDLGH[DP�URRP�DQG�UHVWURRP���(VWDFLRQDPLHQWR�¨�2IIHUV�7HOHKHDOWK�VHUYLFHV���2IUHFH�VHUYLFLRV�GHLQVWDODFLyQ��DVFHQVRU��FRQVXOWRULR��FXDUWR�GHWHOHVDOXGH[SORUDFLyQ�\�EDxRV�DFFHVLEOHV
Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Maloney, Gregory, PA~* Physician Assistant NPI: 1689035404
Primary Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID
83706 (208) 345-1222 Group(s): Primary Health Medical Group
Martinez, Stephen, MDb~* Family Medicine NPI: 1154362804 Primary
Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947
Group(s): Primary Health Medical Group
Mccarren, Megan, MD~ Internal Medicine NPI: 1841490950 St Lukes
Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Mccauley, Shane, MD~* Family Medicine NPI: 1083603229 Samg W
Emerald Occupational Medicine 6051 W Emerald St Boise, ID 83704
(208) 302-7600 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Mcclaskey, Daniel, MD~ Internal Medicine NPI: 1558560060 St
Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Mcgeorge, Laura, MDb~* Internal Medicine NPI: 1629029699 St
Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 201 Boise,
ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley
Llc
Mebane, Mary, PAb~* Physician Assistant NPI: 1154374536 St Lukes
Clinic - Internal Medicine 701 E Parkcenter Blvd Boise, ID 83706
(208) 381-6400 Group(s): St Lukes Clinic Treasure Valley Llc
Mebane, Mary, PA~* Physician Assistant NPI: 1154374536 St Lukes
Clinic Palliative Medicine 1000 E Park Blvd Ste 120 Boise, ID 83712
(208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc
Meier, Alexandra, MD~* Geriatric Medicine -Family Medicine NPI:
1619234622 Samg House Calls 5966 W Curtisian Ave Boise, ID 83704
(208) 302-5490 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Michaud, Mark, MD* Family Medicine NPI: 1780621128 Primary
Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706
(208) 345-1222 Group(s): Primary Health Medical Group
Miller, Katherine, MD~* Family Medicine NPI: 1225066707 Samg Bhp
Family Medicine 2141 E Parkcenter Blvd Boise, ID 83706 (208)
302-5000 Group(s): Saint Alphonsus Regional Medical Center
Physicians - 1861676
Montamat, Stephen, MDb~* Internal Medicine NPI: 1548210958 St
Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 201 Boise,
ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley
Llc
Moon, Erin, PA~ Physician Assistant NPI: 1588826846 Family
Health Care 1075 N Curtis Rd Ste 100 Boise, ID 83706 (208) 377-5166
Group(s): Family Health Care
Moore, Harold, MD~* Family Medicine NPI: 1356320915 Samg Federal
Way Family Med 1880 W Judith Ln Boise, ID 83705 (208) 302-5200
Group(s): Saint Alphonsus Regional Medical Center Physicians -
1861676
Moore, Ryan, MD* Family Medicine NPI: 1386664654 Primary Health
Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011
Group(s): Primary Health Medical Group
Moorhouse, Aaron, DOb~* Family Medicine NPI: 1689602914 Pioneer
Family Medicine 13150 W Persimmon Ln Boise, ID 83713 (208) 938-3663
Group(s): Pioneer Family Medicine
30
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Primary Care Providers / Proveedores de atención primariaAda
County continued/Condado seguido
Moos, Aaron, MD~* Obstetrics & Gynecology NPI: 1255657011 St
Lukes Clinic Obstetrics And Gynecology 100 E Idaho St Boise, ID
83712 (208) 343-7501 Group(s): St Lukes Clinic Treasure Valley
Llc
Morales, Jessica, DO~ Internal Medicine NPI: 1790048221 St Lukes
Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208)
381-5015 Group(s): St Lukes Clinic Treasure Valley Llc
Morrill, Scott, PA~* Physician Assistant NPI: 1033354915 Primary
Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947
Group(s): Primary Health Medical Group Other Specialties: Z
-Medical - Physician Assistant
Moses, Nicole, MDb~* Family Medicine NPI: 1881801322 St Lukes
Clinic - St Lukes Family Health 2083 Hospitality Ln Boise, ID 83716
(208) 333-8345 Group(s): St Lukes Clinic Treasure Valley Llc
Mudge, Sandy, MD~* Family Medicine NPI: 1366704017 Family
Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525
Group(s): Central District Health Department, Family Medicine
Residency Of Idaho Inc -Medical Group, 1841490075 Spanish,
French
Mudge, Sandy, MD~* Family Medicine NPI: 1366704017 Family
Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208)
514-2510 Group(s): Central District Health Department, Family
Medicine Residency Of Idaho Inc -Medical Group, 1841490075 Spanish,
French
Mudge, Sandy, MD~* Family Medicine NPI: 1366704017 Family
Medicine Health Center 777 N Raymond St Boise, ID 83704 (208)
514-2500 Group(s): Central District Health Department, Family
Medicine Residency Of Idaho Inc -Medical Group, 1841490075 Spanish,
French
Mulder, Gertjan, MDb~* Family Medicine NPI: 1659336691 St Luke’S
Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID
83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley Llc
Dutch
Munn, Stacia, MDb~* Family Medicine NPI: 1477586162 St Lukes
Clinic - Capital City Family Medicine 1520 W State St Ste 100
Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure
Valley Llc
Nagle, Mary, MDb~* Family Medicine NPI: 1518253848 Primary
Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947
Group(s): Primary Health Medical Group
Nandy, Mousumi, MD~ Internal Medicine NPI: 1508887472 St Lukes
Clinic -Hospitalists 190 E Bannock