Dr Daniela Grigore, MD | |
3217 W Bavaria Street, Eagle, ID 83616 | |
(208) 302-6200 | |
(208) 302-6255 |
Full Name | Dr Daniela Grigore |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3217 W Bavaria Street, Eagle, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295998862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M-11530 (Idaho) | Primary |
208000000X | Pediatrics | BP10031879 (Texas) | Secondary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniela Grigore, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 302-6200 | Dr Daniela Grigore, MD 3217 W Bavaria Street, Eagle, ID 83616 Ph: (208) 302-6200 |
Noreen A. Womack, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 W State St, Suite 100, Eagle, ID 83616 Phone: 208-939-1035 Fax: 208-939-8970 | |
Mr. Nicholas J Lewis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St Ste And2107, Eagle, ID 83616 Phone: 208-473-3500 Fax: 208-473-3510 | |
Mrs. Amanda Beth Wartner Stinger, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 W State St, Eagle, ID 83616 Phone: 208-939-1035 | |
Hailey N. Baisch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 W State St Ste 100, Eagle, ID 83616 Phone: 208-939-1035 | |
Dr. Alan Paul Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 125 Stierman Way, Eagle, ID 83616 Phone: 208-939-4880 Fax: 208-939-5003 | |
Nathan J Hirsch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 W State St, Ste 100, Eagle, ID 83616 Phone: 208-939-1035 |