Dr Alan Ja Pitt, MD | |
1618 S. Millennium Way, Suite 100, Meridian, ID 83642-6457 | |
(208) 884-3376 | |
(208) 884-0858 |
Full Name | Dr Alan Ja Pitt |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 30 Years |
Location | 1618 S. Millennium Way, 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 |
---|---|---|---|
1659301950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | M7850 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ada West Dermatology, P.c. | 1153341532 | 24 |
Entity Name | Ada West Dermatology, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518973338 PECOS PAC ID: 1153341532 Enrollment ID: O20051130000393 |
Mailing Address | Practice Location Address |
---|---|
Dr Alan Ja Pitt, MD 1618 S. Millennium Way, Suite 100, Meridian, ID 83642-6457 Ph: (208) 884-3376 | Dr Alan Ja Pitt, MD 1618 S. Millennium Way, Suite 100, Meridian, ID 83642-6457 Ph: (208) 884-3376 |
Maura Jane Holcomb, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858 | |
Elizabeth A Swanson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858 | |
Dr. Richard Scott Thomas, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4664 N Penngrove Way Ste 100, Meridian, ID 83646 Phone: 208-898-7467 Fax: 208-398-2120 | |
Mark Noble Schwendiman, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 | |
Whitney Marque Vinson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858 | |
Dr. Jennifer L Scott, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858 | |
Ryan Bruce Thorpe, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858 |