Clayton Miller, DO | |
520 S Eagle Rd Ste 1241, Meridian, ID 83642-6355 | |
(208) 381-6930 | |
Not Available |
Full Name | Clayton Miller |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 10 Years |
Location | 520 S Eagle Rd Ste 1241, Meridian, 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 |
---|---|---|---|
1285048041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101021200 (Michigan) | Secondary |
208600000X | Surgery | OP60938412 (Washington) | Secondary |
208600000X | Surgery | O-1628 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Clayton Miller, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Clayton Miller, DO 520 S Eagle Rd Ste 1241, Meridian, ID 83642-6355 Ph: (208) 381-6930 |
Scott A. Henson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E. Louise Dr., #400, Meridian, ID 83642 Phone: 208-364-3000 | |
Dr. Shelley Kathleen Perkins, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651 | |
Dr. Ethan A Ferrel, MD Surgery Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931 | |
Katherine Elizabeth Kramme, DO Surgery Medicare: Medicare Enrolled Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651 | |
Dr. Britani Rhea Hill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 | |
Rebecca D Shaw, CFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 3630 E Louise Dr, Meridian, ID 83642 Phone: 208-377-9515 |