Dr Carl Scott Humphrey, MD | |
3381 W Bavaria Street, Eagle, ID 83616-5341 | |
(208) 639-4800 | |
(208) 639-4801 |
Full Name | Dr Carl Scott Humphrey |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 24 Years |
Location | 3381 W Bavaria Street, Eagle, Idaho |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811978778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | M9563 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boise Shoulder Clinic, Pa | 4688671621 | 3 |
Entity Name | Boise Shoulder Clinic, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760581409 PECOS PAC ID: 4688671621 Enrollment ID: O20061103000362 |
Mailing Address | Practice Location Address |
---|---|
Dr Carl Scott Humphrey, MD 3381 W Bavaria Street, Eagle, ID 83616-5341 Ph: (208) 639-4800 | Dr Carl Scott Humphrey, MD 3381 W Bavaria Street, Eagle, ID 83616-5341 Ph: (208) 639-4800 |
Joseph P Kelly, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3381 W Bavaria St, Eagle, ID 83616 Phone: 208-639-4800 | |
Dr. Lisa R Rendon, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3381 W Bavaria St, Eagle, ID 83616 Phone: 208-287-1110 Fax: 208-639-4801 | |
Dr. Joseph Gordon Daines, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 766 W Colchester Dr, Eagle, ID 83616 Phone: 208-401-4790 | |
Dr. Vipul N Nanavati, MD, BSME, CAQH Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3381 W Bavaria St, Eagle, ID 83616 Phone: 208-639-4800 Fax: 208-639-4801 |