Dr Mark David Wigod, MD | |
3630 E Louise Drive, Meridian, ID 83642 | |
(208) 377-9515 | |
(208) 377-9517 |
Full Name | Dr Mark David Wigod |
---|---|
Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 3630 E Louise Drive, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427086164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | M8189 (Idaho) | Primary |
Entity Name | Mark D. Wigod, Md, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679751770 PECOS PAC ID: 1759419096 Enrollment ID: O20100507000211 |
Mailing Address | Practice Location Address |
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Dr Mark David Wigod, MD 7157 N Spurwing Way, Meridian, ID 83642-5179 Ph: () - | Dr Mark David Wigod, MD 3630 E Louise Drive, Meridian, ID 83642 Ph: (208) 377-9515 |
Scott A. Henson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E. Louise Dr., #400, Meridian, ID 83642 Phone: 208-364-3000 | |
Dr. Shelley Kathleen Perkins, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651 | |
Dr. Ethan A Ferrel, MD Surgery Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931 | |
Katherine Elizabeth Kramme, DO Surgery Medicare: Medicare Enrolled Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651 | |
Dr. Britani Rhea Hill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 | |
Rebecca D Shaw, CFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 3630 E Louise Dr, Meridian, ID 83642 Phone: 208-377-9515 | |
Clayton Miller, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 |