| Dr Michael D Rae, DC | |
|
1843 S Broadway Ave Ste 203a, Boise, ID 83706-3862 | |
| (208) 345-3630 | |
| (208) 345-3640 |
| Full Name | Dr Michael D Rae |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1843 S Broadway Ave Ste 203a, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194057802 | NPI | - | NPPES |
| 15614453 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1332 (Idaho) | Primary |
| Provider Name | Dr. Michael D Rae Dc Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437877321 PECOS PAC ID: 3678943644 Enrollment ID: O20230109001041 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael D Rae, DC 1843 S. Broadway Ave, Suite 203a, Boise, ID 83706-3503 Ph: (208) 985-3233 | Dr Michael D Rae, DC 1843 S Broadway Ave Ste 203a, Boise, ID 83706-3862 Ph: (208) 345-3630 |
Johnnie R Clemans, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7805 Ustick Rd, Boise, ID 83704 Phone: 208-375-7851 Fax: 208-375-1905 | |
Dr. Edward Reza Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8631 W Ardene St, Boise, ID 83709 Phone: 208-629-1904 Fax: 208-545-1846 | |
Century Clinic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3062 N Five Mile Rd, Suite A, Boise, ID 83713 Phone: 208-377-9500 Fax: 208-377-8449 | |
Healthy Creations Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 2999 N Lakeharbor Ln Ste 201, Boise, ID 83703 Phone: 208-853-2277 Fax: 208-853-2278 | |
Dr. Benjamin Webb, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13909 W Wainwright Dr, Boise, ID 83713 Phone: 208-322-7900 | |
Dr. Gary D Musgrave, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3314 N. Cole Rd., Boise, ID 83704 Phone: 208-377-9930 Fax: 208-377-9932 | |
Dr. Luke A. Willett, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3040 N Five Mile Rd, Suite C, Boise, ID 83713 Phone: 208-321-8484 Fax: 208-321-5084 |