Dr Leonardo B C Brasiliense, MD | |
1072 N Liberty St Ste 200, Boise, ID 83704-8963 | |
(208) 302-4100 | |
(208) 302-4135 |
Full Name | Dr Leonardo B C Brasiliense |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 1072 N Liberty St Ste 200, 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 |
---|---|---|---|
1689052664 | NPI | - | NPPES |
2213825 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | MD61270647 (Washington) | Secondary |
207T00000X | Neurological Surgery | M-17423 (Idaho) | Primary |
Entity Name | Swedish Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
Mailing Address | Practice Location Address |
---|---|
Dr Leonardo B C Brasiliense, MD Po Box 190930, Boise, ID 83719-0930 Ph: (208) 236-7051 | Dr Leonardo B C Brasiliense, MD 1072 N Liberty St Ste 200, Boise, ID 83704-8963 Ph: (208) 302-4100 |
Kenneth M Little, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, 10th Floor, Boise, ID 83712 Phone: 208-381-5500 Fax: 208-381-2555 | |
Bruce J Andersen, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty St, Suite 303, Boise, ID 83704 Phone: 208-367-4035 Fax: 208-367-7111 | |
Roy Tyler Frizzell, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Ste 307, Boise, ID 83702 Phone: 208-344-1000 Fax: 208-344-1331 | |
Michael V Hajjar, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6140 W Curtisian Ave Ste 400, Boise, ID 83704 Phone: 208-327-5600 Fax: 208-327-5602 | |
Michael L Henbest, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 6140 Curtisian Ave, Suite 400, Boise, ID 83704 Phone: 208-367-3500 Fax: 208-367-2968 | |
Dr. Donald John Blaskiewicz, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St Fl 10, Boise, ID 83712 Phone: 208-381-5500 | |
Phillip Clayton Berryhill, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 N. Curtis Rd, Suite 201, Boise, ID 83706 Phone: 208-367-4000 Fax: 208-367-4052 |