Annis Wakelee Vargas, MD | |
1072 N Liberty Street, Ste 203, Boise, ID 83701 | |
(208) 302-5800 | |
(208) 302-5855 |
Full Name | Annis Wakelee Vargas |
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Gender | Female |
Speciality | Pediatrics |
Location | 1072 N Liberty Street, 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 |
---|---|---|---|
1023404811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 10077801-1205 (Utah) | Secondary |
208000000X | Pediatrics | 10077801-8905 (Utah) | Secondary |
208000000X | Pediatrics | M-14080 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Annis Wakelee Vargas, MD 3340 E Goldstone Way, Meridian, ID 83642 Ph: (208) 302-5800 | Annis Wakelee Vargas, MD 1072 N Liberty Street, Ste 203, Boise, ID 83701 Ph: (208) 302-5800 |
Dr. Nathan D Meeker, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172 | |
Nicolas A Camilo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St., Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172 | |
Heather Carew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2645 | |
Dr. Frederick K Emge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 200, Boise, ID 83712 Phone: 208-381-7384 Fax: 208-381-7387 | |
Mrs. Lisa S Labor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711 Fax: 208-375-2217 | |
Mikelle E Mikesell, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711 |