Bruce J Andersen, MD | |
1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | |
(208) 367-4035 | |
(208) 367-7111 |
Full Name | Bruce J Andersen |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 42 Years |
Location | 1072 N Liberty St, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063420792 | NPI | - | NPPES |
72504 | Other | BLUE CROSS OF IDAHO | |
134024 | Other | OR | OMAP |
805457400 | Medicaid | ID | |
807732500 | Medicaid | ID | |
185529500 | Other | US DEPARTMENT OF LABOR | |
145403 | Other | WA | WA DEPARTMENT OF LABOR |
000010026334 | Other | ID | REGENCE BLUE SHIELD |
8J703 | Other | ID | BLUE CROSS OF IDAHO GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | M7767 (Idaho) | Secondary |
207T00000X | Neurological Surgery | M-7767 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Bruce J Andersen, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 367-5170 | Bruce J Andersen, MD 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 Ph: (208) 367-4035 |
Kenneth M Little, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, 10th Floor, Boise, ID 83712 Phone: 208-381-5500 Fax: 208-381-2555 | |
Roy Tyler Frizzell, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Ste 307, Boise, ID 83702 Phone: 208-344-1000 Fax: 208-344-1331 | |
Michael V Hajjar, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6140 W Curtisian Ave Ste 400, Boise, ID 83704 Phone: 208-327-5600 Fax: 208-327-5602 | |
Michael L Henbest, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 6140 Curtisian Ave, Suite 400, Boise, ID 83704 Phone: 208-367-3500 Fax: 208-367-2968 | |
Dr. Donald John Blaskiewicz, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St Fl 10, Boise, ID 83712 Phone: 208-381-5500 | |
Phillip Clayton Berryhill, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 N. Curtis Rd, Suite 201, Boise, ID 83706 Phone: 208-367-4000 Fax: 208-367-4052 |