Dr William J Dittrich, MD | |
2347 E Gala St, Meridian, ID 83642-4881 | |
(208) 323-0031 | |
(208) 323-0064 |
Full Name | Dr William J Dittrich |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 29 Years |
Location | 2347 E Gala St, 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 |
---|---|---|---|
1154469328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | M-7052 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
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 William J Dittrich, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 323-0031 | Dr William J Dittrich, MD 2347 E Gala St, Meridian, ID 83642-4881 Ph: (208) 323-0031 |
Mr. Eric Ld Scholten, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 Fax: 208-323-3768 | |
Lynn Ge-zerbe, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1759 S Millenium Way, Meridian, ID 83642 Phone: 208-387-6546 Fax: 888-334-8747 | |
Dr. Aaron Dunham, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 Phone: 208-302-3300 Fax: 208-302-3355 | |
Oleg Sergeevich Kouskov, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 | |
John T Witte, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2235 E Gala St, Meridian, ID 83642 Phone: 208-887-3724 Fax: 208-887-3724 | |
Liang Wu, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3525 E Louise Dr Ste 100, Meridian, ID 83642 Phone: 208-999-0356 | |
John B Dever, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 310, Meridian, ID 83642 Phone: 208-463-3000 |