Dr Laura Tedrick, MD | |
1072 N Liberty St Ste 100, Boise, ID 83704-8708 | |
(208) 302-1200 | |
(208) 302-1255 |
Full Name | Dr Laura Tedrick |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 9 Years |
Location | 1072 N Liberty St Ste 100, Boise, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528453552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | M-14695 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Idaho Health Partners Llc | 5395063564 | 70 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Entity Name | Women's Health Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013957885 PECOS PAC ID: 4082630587 Enrollment ID: O20051024000091 |
Entity Name | Southern Idaho Health Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952701401 PECOS PAC ID: 5395063564 Enrollment ID: O20150420000863 |
Mailing Address | Practice Location Address |
---|---|
Dr Laura Tedrick, MD Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170 | Dr Laura Tedrick, MD 1072 N Liberty St Ste 100, Boise, ID 83704-8708 Ph: (208) 302-1200 |
Cristin C Slater, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 111 Main St, #100, Boise, ID 83702 Phone: 208-342-5900 Fax: 208-342-2088 | |
Maryalice Lopez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 333 N 1st St Ste 240, Boise, ID 83702 Phone: 208-338-8900 | |
Martha H Lund, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6140 Curtisian Ave, Suite 100, Boise, ID 83704 Phone: 208-367-4224 Fax: 208-367-7806 | |
Bradley Holbrook, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 333 N 1st St Ste 150, Boise, ID 83702 Phone: 208-381-3088 Fax: 208-381-4314 | |
Dr. B Kerry Lowder, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 400, Boise, ID 83712 Phone: 208-345-5250 Fax: 208-345-2364 | |
Dr. Michael F Koszalka Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 333 N 1st St Ste 150, Boise, ID 83702 Phone: 208-381-3088 | |
Dr. Juliana L Digiosia, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty St, Suite 100, Boise, ID 83704 Phone: 208-302-1200 Fax: 208-302-1255 |