Dr Donald David Hartman Sr, MD | |
1907 S Broadway Ave Ste 101, Boise, ID 83706-4229 | |
(208) 453-1222 | |
(208) 345-1261 |
Full Name | Dr Donald David Hartman Sr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1907 S Broadway Ave Ste 101, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588669410 | NPI | - | NPPES |
003740800 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M5688 (Idaho) | Primary |
Entity Name | Alliance Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568413920 PECOS PAC ID: 3971544685 Enrollment ID: O20050512000561 |
Mailing Address | Practice Location Address |
---|---|
Dr Donald David Hartman Sr, MD 6565 W Emerald St, Boise, ID 83704-8737 Ph: (208) 377-5055 | Dr Donald David Hartman Sr, MD 1907 S Broadway Ave Ste 101, Boise, ID 83706-4229 Ph: (208) 453-1222 |
Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480 | |
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 | |
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 | |
Sarah A Hershman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Summer E Szumski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Thornton E Bryan Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-381-6500 Fax: 208-381-6505 | |
Irvin E Sackman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 E Boise Ave, Boise, ID 83706 Phone: 208-345-4066 Fax: 208-345-4196 |