Dr Mary O'kief Dittrich, MD | |
3525 E Louise Dr, Ste 100, Meridian, ID 83642-6302 | |
(208) 846-8335 | |
Not Available |
Full Name | Dr Mary O'kief Dittrich |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 27 Years |
Location | 3525 E Louise Dr, Meridian, 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 |
---|---|---|---|
1437194552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | M7706 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Liberty Dialysis - Caldwell | Caldwell, ID | Dialysis facility |
Liberty Dialysis - Nampa | Nampa, ID | Dialysis facility |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary O'kief Dittrich, MD 2702 Holden Ln, Boise, ID 83706-5060 Ph: () - | Dr Mary O'kief Dittrich, MD 3525 E Louise Dr, Ste 100, Meridian, ID 83642-6302 Ph: (208) 846-8335 |
Mr. Eric Ld Scholten, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 Fax: 208-323-3768 | |
Lynn Ge-zerbe, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1759 S Millenium Way, Meridian, ID 83642 Phone: 208-387-6546 Fax: 888-334-8747 | |
Dr. Aaron Dunham, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 Phone: 208-302-3300 Fax: 208-302-3355 | |
Oleg Sergeevich Kouskov, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 | |
John T Witte, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2235 E Gala St, Meridian, ID 83642 Phone: 208-887-3724 Fax: 208-887-3724 | |
Liang Wu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3525 E Louise Dr Ste 100, Meridian, ID 83642 Phone: 208-999-0356 | |
John B Dever, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 310, Meridian, ID 83642 Phone: 208-463-3000 |