Dr Douglas B Mcmahon, DO | |
12080 W Mcmillan Rd, Boise, ID 83713-2462 | |
(208) 375-4955 | |
Not Available |
Full Name | Dr Douglas B Mcmahon |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 12080 W Mcmillan 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 |
---|---|---|---|
1568555001 | NPI | - | NPPES |
079587 | Medicaid | OR | |
4002804-02 | Other | OR | REGENCE PC 65 |
0237420-02 | Other | OR | REGENCE BLUE CROSS OF OR |
H2549-02 | Other | OR | PACIFIC SOURCE |
122912 | Other | OR | DEPT OF LABOR WORK COMP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO19768 (Oregon) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | M-17583 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Accentcare Home Health Of Rogue Valley, Llc | Medford, OR | Home health agency |
Asante Rogue Regional Medical Center Hospice Serv | Medford, OR | Hospice |
Asante Rogue Regional Medical Center | Medford, OR | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Providence Medford Medical Center | Medford, OR | Hospital |
Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
Asante Ashland Community Hospital | Ashland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Asante Physician Partners | 8325206246 | 244 |
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | Asante Physician Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas B Mcmahon, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Douglas B Mcmahon, DO 12080 W Mcmillan Rd, Boise, ID 83713-2462 Ph: (208) 375-4955 |
Dr. Jennifer A Hofstra, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 757-446-8920 Fax: 757-446-5242 | |
Dr. James Robert Polk, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3104 | |
Dr. Michael Frederic Krug, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 Fax: 208-381-1873 | |
Derrel V Walker, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951 | |
Dr. Janat E. O'donnell, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 500 W. Fort St., # 111, Boise, ID 83702 Phone: 208-422-1325 Fax: 208-422-1319 | |
Carl L Durning, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 6094 W Emerald St, Boise, ID 83704 Phone: 208-367-6575 Fax: 208-367-6597 | |
Dr. Christopher J Goulet, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 |