Dr Matthew Jacob Nelson, MD | |
1907 S Broadway Ave Ste 101, Boise, ID 83706-4229 | |
(208) 345-1222 | |
(208) 345-1261 |
Full Name | Dr Matthew Jacob Nelson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 1907 S Broadway Ave Ste 101, Boise, 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 |
---|---|---|---|
1669633798 | NPI | - | NPPES |
808083100 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-10913 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Commonwealth Healthcare Corporation | 7719075167 | 39 |
Entity Name | Medical Associates Of The Pacific Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144310723 PECOS PAC ID: 2961456447 Enrollment ID: O20050308000647 |
Entity Name | Commonwealth Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Jacob Nelson, MD Po Box 191050, Boise, ID 83719-1050 Ph: (208) 955-6500 | Dr Matthew Jacob Nelson, MD 1907 S Broadway Ave Ste 101, Boise, ID 83706-4229 Ph: (208) 345-1222 |
Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480 | |
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 | |
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 | |
Sarah A Hershman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Summer E Szumski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Thornton E Bryan Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-381-6500 Fax: 208-381-6505 | |
Irvin E Sackman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 E Boise Ave, Boise, ID 83706 Phone: 208-345-4066 Fax: 208-345-4196 |