Elizabeth Ryann Mcclennen, DO | |
190 E Bannock St, Boise, ID 83712-6241 | |
(208) 381-2222 | |
Not Available |
Full Name | Elizabeth Ryann Mcclennen |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 18 Years |
Location | 190 E Bannock St, Boise, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356599898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R1313 (Kentucky) | Secondary |
207R00000X | Internal Medicine | O0536 (Idaho) | Secondary |
208M00000X | Hospitalist | O0536 (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 |
St Lukes Magic Valley Medical Center | Twin falls, 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 |
---|---|
Elizabeth Ryann Mcclennen, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Elizabeth Ryann Mcclennen, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 |
Robert L Petersen, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951 | |
Dr. Derek Ryan Mcdowell, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-814-4100 | |
Scott V. Jensen, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, 4c116, Boise, ID 83712 Phone: 208-351-6368 | |
Lindsay M Tverdy Winans, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Jenifer L Barry, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1525 S Owyhee St, Boise, ID 83705 Phone: 208-344-8482 Fax: 208-345-5426 | |
Dr. Lisa Marie Hunt, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951 | |
Elizabeth Brooke Olberding, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-4166 |