Brent Kenner Childers, MD | |
8800 W Emerald St, Boise, ID 83704-8205 | |
(208) 373-5000 | |
Not Available |
Full Name | Brent Kenner Childers |
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Gender | Male |
Speciality | Anesthesiology |
Location | 8800 W Emerald St, 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 |
---|---|---|---|
1124067566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD6244 (Idaho) | Primary |
Entity Name | Bay Area Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
Mailing Address | Practice Location Address |
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Brent Kenner Childers, MD Po Box 4008, Portland, OR 97208-4008 Ph: (503) 372-2740 | Brent Kenner Childers, MD 8800 W Emerald St, Boise, ID 83704-8205 Ph: (208) 373-5000 |
John Mather Hine, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8800 W Emerald St, Boise, ID 83704 Phone: 208-373-5000 | |
Steven J Love, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 | |
Dr. Tomasz Adam Murawski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-5170 Fax: 208-367-5180 | |
Dr. Timothy A Bialobrzeski, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 338 E Bannock St, Boise, ID 83712 Phone: 208-336-0895 | |
Kirk A. Miller, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 600 Robbins Rd, Suite 401, Boise, ID 83702 Phone: 208-489-4279 Fax: 208-424-8555 | |
Raphael Joseph Streiff, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 |