Dr Shelley Kathleen Perkins, MD | |
3399 E Louise Dr Ste 400, Meridian, ID 83642-5212 | |
(208) 706-4650 | |
(208) 706-4651 |
Full Name | Dr Shelley Kathleen Perkins |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 3399 E Louise Dr Ste 400, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023077435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101052952 (Virginia) | Secondary |
208600000X | Surgery | M-17620 (Idaho) | Primary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Shelley Kathleen Perkins, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Shelley Kathleen Perkins, MD 3399 E Louise Dr Ste 400, Meridian, ID 83642-5212 Ph: (208) 706-4650 |
Scott A. Henson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E. Louise Dr., #400, Meridian, ID 83642 Phone: 208-364-3000 | |
Dr. Ethan A Ferrel, MD Surgery Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931 | |
Katherine Elizabeth Kramme, DO Surgery Medicare: Medicare Enrolled Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651 | |
Dr. Britani Rhea Hill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 | |
Rebecca D Shaw, CFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 3630 E Louise Dr, Meridian, ID 83642 Phone: 208-377-9515 | |
Clayton Miller, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 |