Dr Matthew Lysne, MD | |
415 6th St, Lewiston, ID 83501-2431 | |
(208) 743-2511 | |
(208) 799-5554 |
Full Name | Dr Matthew Lysne |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 415 6th St, Lewiston, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730244542 | NPI | - | NPPES |
8K552 | Other | ID | BLUE CROSS OF ID GROUP NU |
10003076 | Other | ID | REGENCE OF ID URGENT CARE |
HBRR0 | Other | ID | BLUE CROSS OF IDAHO IND |
003805700 | Medicaid | ID | |
8128159 | Medicaid | WA | |
10003077 | Other | ID | REGENCE OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M5825 (Idaho) | Primary |
Entity Name | Hospitalist Medicine Physicians Of Idaho- Nampa Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558995316 PECOS PAC ID: 2365871688 Enrollment ID: O20200407001850 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Lysne, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 | Dr Matthew Lysne, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 |
Stephen Lee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Dr. Nancy Berkheiser, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Dr. Jay Hunter, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Stacey A Good, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 512-730-3056 Fax: 888-730-1925 | |
Dr. Joshua Bennett Helman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 512-730-3056 Fax: 888-730-1925 | |
Dr. David Kendrick, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 |