Dr Eduardo Avila, MD is a
Surgery physician based in Blackfoot, Idaho. Dr Eduardo Avila is licensed to practice in Idaho (license number M-9388) and his current practice location is 98 Poplar St, Blackfoot, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 782-3993.
NPI number for Dr Eduardo Avila is 1760430367 and his current mailing address is 98 Poplar St, Blackfoot, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760430367.
Physician's Profile
| Full Name | Dr Eduardo Avila |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
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| Location | 98 Poplar St, Blackfoot, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760430367
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 03/28/2008
Medical Identifiers
Medical identifiers for Dr Eduardo Avila such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760430367 | NPI | - | NPPES |
| 75390 | Other | ID | BLUE CROSS OLD |
| 000010151099 | Other | ID | REGENCE BLUE SHEILD |
| HB400 | Other | ID | BLUE CROSS |
| 243412 | Other | ID | ALTIUS OLD |
| 313067 | Other | ID | ALTIUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | M-9388 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eduardo Avila is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Eduardo Avila, MD
98 Poplar St,
Blackfoot, ID 83221-1758
Ph: (208) 782-3993 | Dr Eduardo Avila, MD
98 Poplar St,
Blackfoot, ID 83221-1758
Ph: (208) 782-3993 |
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