Colin Stephen Doyle, MD is a medicare enrolled "Surgery" physician in Clarkston, Washington. His current practice location is
3779 Swallows Nest Ct, Clarkston, Washington. You can reach out to his office (for appointments etc.) via phone at
(208) 503-0629.
Colin Stephen Doyle is licensed to practice in Idaho (license number M-3499) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194816769.
Physician's Profile
| Full Name | Colin Stephen Doyle |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 3779 Swallows Nest Ct, Clarkston, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194816769
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 12/14/2015
Medicare PECOS Information:
- PECOS PAC ID: 2163329483
- Enrollment ID: I20100618000429
Medical Identifiers
Medical identifiers for Colin Stephen Doyle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194816769 | NPI | - | NPPES |
| 000010003514 | Other | | REGENCE BLUESHIELD OF ID |
| 1103407 | Medicaid | WA | |
| 002456000 | Medicaid | ID | |
| S3085 | Other | | BLUE CROSS OF IDAHO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | M-3499 (Idaho) | Secondary |
| 207Y00000X | Otolaryngology | MD00014948 (Washington) | Secondary |
| 208600000X | Surgery | M-3499 (Idaho) | Primary |
| 208600000X | Surgery | MD00014948 (Washington) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colin Stephen Doyle is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Colin Stephen Doyle, MD
3779 Swallows Nest Ct,
Clarkston, WA 99403-1738
Ph: (208) 503-0629 | Colin Stephen Doyle, MD
3779 Swallows Nest Ct,
Clarkston, WA 99403-1738
Ph: (208) 503-0629 |
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