Dr Daniel Lee Grange, DO | |
1055 N Curtis Rd, Boise, ID 83706-1309 | |
(208) 367-6416 | |
(208) 367-2742 |
Full Name | Dr Daniel Lee Grange |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 20 Years |
Location | 1055 N Curtis Rd, Boise, 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 |
---|---|---|---|
1710977509 | NPI | - | NPPES |
005794100 | Medicaid | MN | |
P00448262 | Other | MN | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | O-0492 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Alphonsus Professional Medical Services Llc | 7214849751 | 64 |
Entity Name | St Alphonsus Professional Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184 |
Entity Name | Boise Anesthesia, P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740239599 PECOS PAC ID: 8426960642 Enrollment ID: O20041022000230 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Lee Grange, DO Po Box 7411114, Chicago, IL 60674-1114 Ph: (208) 367-5170 | Dr Daniel Lee Grange, DO 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 367-6416 |
John Mather Hine, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8800 W Emerald St, Boise, ID 83704 Phone: 208-373-5000 | |
Steven J Love, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 | |
Dr. Tomasz Adam Murawski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-5170 Fax: 208-367-5180 | |
Dr. Timothy A Bialobrzeski, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 338 E Bannock St, Boise, ID 83712 Phone: 208-336-0895 | |
Brent Kenner Childers, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8800 W Emerald St, Boise, ID 83704 Phone: 208-373-5000 | |
Kirk A. Miller, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 600 Robbins Rd, Suite 401, Boise, ID 83702 Phone: 208-489-4279 Fax: 208-424-8555 | |
Raphael Joseph Streiff, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 |