Dr Jeremy David Waldram, MD | |
1000 N Curtis Rd Ste 303, Boise, ID 83706-1347 | |
(208) 377-4000 | |
Not Available |
Full Name | Dr Jeremy David Waldram |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 16 Years |
Location | 1000 N Curtis Rd Ste 303, 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 |
---|---|---|---|
1396972311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01069478A (Indiana) | Secondary |
207K00000X | Allergy & Immunology | M-15024 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allergy Group Pc | 5799747317 | 6 |
Entity Name | Allergy Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979974 PECOS PAC ID: 5799747317 Enrollment ID: O20041027000279 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy David Waldram, MD 1000 N Curtis Rd Ste 303, Boise, ID 83706-1347 Ph: (208) 377-4000 | Dr Jeremy David Waldram, MD 1000 N Curtis Rd Ste 303, Boise, ID 83706-1347 Ph: (208) 377-4000 |
George William Palmer, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 901 N Curtis Rd, Ste 100, Boise, ID 83706 Phone: 208-378-0080 Fax: 208-378-0259 | |
John D Jeppson, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 901 N Curtis Rd, Suite 100, Boise, ID 83706 Phone: 208-378-0080 Fax: 208-378-0259 | |
Charles Nephi Webb, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Curtis Rd, Ste 303, Boise, ID 83706 Phone: 208-377-4000 Fax: 208-375-8426 | |
Michael V Keiley, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 901 N Curtis Rd, Ste 100, Boise, ID 83706 Phone: 208-378-0080 Fax: 208-378-0259 |