Dr Stephen Thomas Bushi, MD | |
1902 Judith Ln, Suite 110, Boise, ID 83705-5209 | |
(208) 658-0800 | |
(208) 323-1894 |
Full Name | Dr Stephen Thomas Bushi |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1902 Judith Ln, 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 |
---|---|---|---|
1356336648 | NPI | - | NPPES |
003533000 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | M-5492 (Idaho) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | M-5492 (Idaho) | Secondary |
Entity Name | St Lukes Clinic - Mccall Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881982510 PECOS PAC ID: 7618127994 Enrollment ID: O20121120000225 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Thomas Bushi, MD 1902 Judith Ln, Suite 110, Boise, ID 83705-5209 Ph: (208) 658-0800 | Dr Stephen Thomas Bushi, MD 1902 Judith Ln, Suite 110, Boise, ID 83705-5209 Ph: (208) 658-0800 |
Dr. Michael E. Estess, M. D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1471 Shoreline Dr, Suite 119, Boise, ID 83702 Phone: 208-345-2630 Fax: 208-345-6504 | |
John Carr, PMHNP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1000 N Curtis Rd Ste 202, Boise, ID 83706 Phone: 208-283-7314 | |
Eric A Simmons, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 335 Allumbaugh St, Boise, ID 83704 Phone: 208-376-1611 Fax: 208-658-1753 | |
Dr. Gary Falk, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise Vamc, Boise, ID 83702 Phone: 208-422-1108 | |
Karen Porth, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty Street, Ste 303, Boise, ID 83704 Phone: 208-367-2800 Fax: 208-367-7111 | |
Ramon R Quijano, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 444 W Fort St., Fl 2, Boise, ID 83702 Phone: 208-422-1018 | |
Xavier Al-mateen, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6348 W Emerald St, Boise, ID 83704 Phone: 208-302-0900 Fax: 208-302-0955 |