Dr Gabriel Guerrero, DO | |
74 N Fisher Park Way, Eagle, ID 83616-4704 | |
(208) 391-7210 | |
(208) 391-2130 |
Full Name | Dr Gabriel Guerrero |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 11 Years |
Location | 74 N Fisher Park Way, Eagle, 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 |
---|---|---|---|
1184080210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | O-1094 (Idaho) | Secondary |
207N00000X | Dermatology | O-1094 (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 |
---|---|---|
Eagle Dermatology, Pllc | 1658636048 | 2 |
Entity Name | Eagle Dermatology, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417456385 PECOS PAC ID: 1658636048 Enrollment ID: O20180606001883 |
Mailing Address | Practice Location Address |
---|---|
Dr Gabriel Guerrero, DO 372 S Eagle Rd # 126, Eagle, ID 83616-5908 Ph: (208) 391-7210 | Dr Gabriel Guerrero, DO 74 N Fisher Park Way, Eagle, ID 83616-4704 Ph: (208) 391-7210 |
Heather Nicole Knutson, N.P. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1605 E Riverside Drive, Eagle, ID 83616 Phone: 208-939-6227 Fax: 208-939-6442 | |
Dr. Gregory Lynn Flint, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 868 E Riverside Dr, Suite 200, Eagle, ID 83616 Phone: 208-367-2864 Fax: 208-323-0310 | |
Dr. Wade Robert Keller, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1605 E Riverside Dr, Eagle, ID 83616 Phone: 208-939-6227 Fax: 208-939-6442 |