Dr Michael Stuart Blue, DO | |
2315 8th St, Lewiston, ID 83501-7301 | |
(208) 746-1383 | |
(208) 746-6348 |
Full Name | Dr Michael Stuart Blue |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2315 8th 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 |
---|---|---|---|
1558309393 | NPI | - | NPPES |
1558309393 | Medicaid | WA | |
1558309393 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 42482 (Minnesota) | Secondary |
207Q00000X | Family Medicine | O-1138 (Idaho) | Primary |
207Q00000X | Family Medicine | OP60271117 (Washington) | Secondary |
Entity Name | Public Hospital Dist No 1 Skagit |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Stuart Blue, DO 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 | Dr Michael Stuart Blue, DO 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 |
Dr. Christina R Bjornstad, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 6th Ave, Lewiston, ID 83501 Phone: 208-743-8226 Fax: 208-746-2069 | |
Larry Dean Harries, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 307 St Johns Way, Ste 4, Lewiston, ID 83501 Phone: 208-743-8585 Fax: 208-743-0118 | |
Dr. Christine C Schaller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-983-5120 Fax: 208-983-5404 | |
Dr. Donald J Greggain, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St Ste 3c, Lewiston, ID 83501 Phone: 208-750-3840 Fax: 208-750-3839 | |
Glenn E Jefferson Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Cheryl A Mallory, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Celso R Chavez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1522 17th St, Lewiston, ID 83501 Phone: 208-743-8416 Fax: 208-743-4642 |