Dr Mark David Christenson, MD | |
910 Nw 16th St Ste 102, Fruitland, ID 83619-2265 | |
(208) 452-8015 | |
(208) 452-8055 |
Full Name | Dr Mark David Christenson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 21 Years |
Location | 910 Nw 16th St Ste 102, 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 |
---|---|---|---|
1699883447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD156651 (Oregon) | Secondary |
207R00000X | Internal Medicine | M11489 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Horizon Home Health | Meridian, ID | Home health agency |
Canyon Home Care & Hospice | Fruitland, ID | Home health agency |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Pioneer Nursing Home | Vale, OR | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
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 |
Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark David Christenson, MD 3340 East Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 452-8015 | Dr Mark David Christenson, MD 910 Nw 16th St Ste 102, Fruitland, ID 83619-2265 Ph: (208) 452-8015 |
Dr. Isaac L Elam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 |