Dr Ryan Daniel Heyborne, MD | |
3025 W Cherry Lane, Meridian, ID 83642 | |
(208) 302-6400 | |
(208) 302-6455 |
Full Name | Dr Ryan Daniel Heyborne |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 19 Years |
Location | 3025 W Cherry Lane, Meridian, 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 |
---|---|---|---|
1659573889 | NPI | - | NPPES |
808011700 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01062424A (Indiana) | Secondary |
207P00000X | Emergency Medicine | M10210 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
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 Ryan Daniel Heyborne, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 302-6400 | Dr Ryan Daniel Heyborne, MD 3025 W Cherry Lane, Meridian, ID 83642 Ph: (208) 302-6400 |
Dr. Brenna Mae Shackelford, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 3102, Meridian, ID 83642 Phone: 208-381-1615 Fax: 208-381-5141 | |
Dr. Mark C Thomas, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2963 E Copper Point Dr, Suite 150, Meridian, ID 83642 Phone: 208-322-1730 Fax: 208-322-1731 | |
Dr. Andrew Garry Southard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2963 E Copper Point Dr, Suite 150, Meridian, ID 83642 Phone: 208-322-1730 Fax: 208-322-1731 | |
Terisa Joann Zimmerman, MS, LAT, ATC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 S Millenium Way, Meridian, ID 83642 Phone: 208-871-8359 | |
Travis W Robbins, NP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1900 W Chinden Blvd, Meridian, ID 83646 Phone: 208-809-2860 Fax: 208-809-2861 | |
Dr. Brian Craig Kitamura, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2963 E Copper Point Dr, Meridian, ID 83642 Phone: 208-322-1730 | |
Todd Robert Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3835 S Firenze Way, Meridian, ID 83642 Phone: 801-699-3892 |