Dr Gregory Elliott Bross, MD | |
190 E Bannock St, Pediatric Hospitalists, Boise, ID 83712-6241 | |
(208) 381-2645 | |
Not Available |
Full Name | Dr Gregory Elliott Bross |
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Gender | Male |
Speciality | Pediatrics |
Location | 190 E Bannock St, 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 |
---|---|---|---|
1982938700 | NPI | - | NPPES |
1982938700 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD 60174015 (Washington) | Secondary |
208000000X | Pediatrics | M-12467 (Idaho) | Primary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Elliott Bross, MD 7352 W Rim Acres Ln, Boise, ID 83709-5558 Ph: (208) 381-2645 | Dr Gregory Elliott Bross, MD 190 E Bannock St, Pediatric Hospitalists, Boise, ID 83712-6241 Ph: (208) 381-2645 |
Dr. Nathan D Meeker, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172 | |
Nicolas A Camilo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St., Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172 | |
Heather Carew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2645 | |
Dr. Frederick K Emge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 200, Boise, ID 83712 Phone: 208-381-7384 Fax: 208-381-7387 | |
Annis Wakelee Vargas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1072 N Liberty Street, Ste 203, Boise, ID 83701 Phone: 208-302-5800 Fax: 208-302-5855 | |
Mrs. Lisa S Labor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711 Fax: 208-375-2217 | |
Mikelle E Mikesell, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711 |