Dr Alfred F Brem, DO | |
1906 Fairview Ave Ste 220, Caldwell, ID 83605-5432 | |
(208) 459-4667 | |
(208) 442-6520 |
Full Name | Dr Alfred F Brem |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1906 Fairview Ave Ste 220, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427187848 | NPI | - | NPPES |
269980 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | O-0871 (Idaho) | Primary |
Entity Name | State Of Alabama Dept Of Mental Health & Mental Retardation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619190998 PECOS PAC ID: 5698684090 Enrollment ID: O20031205000194 |
Entity Name | Houston County Healthcare Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
Mailing Address | Practice Location Address |
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Dr Alfred F Brem, DO 1906 Fairview Ave Ste 220, Caldwell, ID 83605-5432 Ph: (208) 459-4667 | Dr Alfred F Brem, DO 1906 Fairview Ave Ste 220, Caldwell, ID 83605-5432 Ph: (208) 459-4667 |
Dr. Sandra Lare, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2609 S 10th Ave Ste 102, Caldwell, ID 83605 Phone: 208-454-2766 | |
Wade Harris, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 211 E Logan St, Ste 201, Caldwell, ID 83605 Phone: 208-454-0567 | |
Dr. Richard A. Montgomery, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605 Phone: 208-795-5072 | |
Colt Kennington, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605 Phone: 208-795-5072 | |
Dr. L. Mark Kimsey, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 E Logan St, Caldwell, ID 83605 Phone: 208-459-2840 Fax: 208-459-3012 | |
Lawrence Estel Banta, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Suite 200, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-442-6520 |