Dr Patrick Edward Farrell, MD | |
301 W Myrtle St, Boise, ID 83702-7656 | |
(208) 955-8215 | |
(208) 445-5899 |
Full Name | Dr Patrick Edward Farrell |
---|---|
Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 301 W Myrtle St, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740238849 | NPI | - | NPPES |
003692900 | Medicaid | ID | |
000010158339 | Other | ID | BLUE SHIELD OF IDAHO |
76755 | Other | ID | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | M6441 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Dr Patrick Edward Farrell, MD 967 E Parkcenter Blvd, # 273, Boise, ID 83706-6721 Ph: (208) 955-8215 | Dr Patrick Edward Farrell, MD 301 W Myrtle St, Boise, ID 83702-7656 Ph: (208) 955-8215 |
Dr. Bradley P Bretz, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2537 W State St Ste 200, Boise, ID 83702 Phone: 208-336-0895 | |
Dr. Richard Alan Dubose, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Robbins Rd, Suite 300, Boise, ID 83702 Phone: 208-489-4016 Fax: 208-489-4015 |