Dr Randall A Black, DO | |
1512 12th Ave Rd, Anesthesiology Consultants Of Idaho, Nampa, ID 83686-6008 | |
(208) 571-9043 | |
Not Available |
Full Name | Dr Randall A Black |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 21 Years |
Location | 1512 12th Ave Rd, Nampa, 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 |
---|---|---|---|
1922028083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | O-0445 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Treasure Valley Hospital | Boise, ID | Hospital |
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesiology Consultants Of Treasure Valley Pllc | 4981661196 | 18 |
Entity Name | Anesthesiology Consultants Of Treasure Valley Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124066063 PECOS PAC ID: 4981661196 Enrollment ID: O20041220000096 |
Entity Name | Anesthesiology Consultants Of Idaho Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093703340 PECOS PAC ID: 5193742625 Enrollment ID: O20051025000059 |
Mailing Address | Practice Location Address |
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Dr Randall A Black, DO 1512 12th Ave Rd, Nampa, ID 83686-6008 Ph: (208) 463-5029 | Dr Randall A Black, DO 1512 12th Ave Rd, Anesthesiology Consultants Of Idaho, Nampa, ID 83686-6008 Ph: (208) 571-9043 |
Dr. Steve Edward Roberts, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-461-2883 Fax: 208-461-2953 | |
Shawn L States, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-461-2883 Fax: 208-461-2953 | |
Dr. Michael Joseph Decker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-461-2883 Fax: 208-461-2953 | |
Eli J Harris, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4424 E Flamingo, Ste 310, Nampa, ID 83687 Phone: 208-302-3760 Fax: 208-302-3768 | |
Ryan H Mecham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5029 | |
Dr. Christopher A Pierce, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-461-2883 Fax: 208-461-2953 | |
Dr. Uzochukwu Amadi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-205-7282 Fax: 208-205-7591 |