Dr Isaac L Elam, MD | |
1210 Nw 16th St, Fruitland, ID 83619-2202 | |
(208) 452-8600 | |
Not Available |
Full Name | Dr Isaac L Elam |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 1210 Nw 16th St, Fruitland, 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 |
---|---|---|---|
1497998215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M-11624 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Horizon Home Health | Meridian, ID | Home health agency |
Signature Healthcare At Home | Nampa, ID | Home health agency |
Canyon Home Care & Hospice | Fruitland, ID | Home health agency |
St Luke's Regional Medical Center | Boise, ID | Hospital |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
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 Isaac L Elam, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Dr Isaac L Elam, MD 1210 Nw 16th St, Fruitland, ID 83619-2202 Ph: (208) 452-8600 |
Dr. Mark David Christenson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St Ste 102, Fruitland, ID 83619 Phone: 208-452-8015 Fax: 208-452-8055 |