Jack C Chaffin Jr, MD | |
1055 N Curtis Rd, Boise, ID 83706-1309 | |
(208) 367-2152 | |
Not Available |
Full Name | Jack C Chaffin Jr |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 48 Years |
Location | 1055 N Curtis Rd, Boise, 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 |
---|---|---|---|
1104867662 | NPI | - | NPPES |
806728500 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | M8872 (Idaho) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M8872 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
Treasure Valley Hospital | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Entity Name | St Alphonsus Professional Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184 |
Mailing Address | Practice Location Address |
---|---|
Jack C Chaffin Jr, MD Po Box 9589, Boise, ID 83707-4589 Ph: (208) 472-8109 | Jack C Chaffin Jr, MD 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 367-2152 |
Dr. Bryce J. Parkinson, DO, MBA Pathology Medicare: Not Enrolled in Medicare Practice Location: 999 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2153 | |
Elizabeth M Williams, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-3078 | |
Mark E Kieckbusch, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2367 Fax: 208-381-4762 | |
Nancy C Kois, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2152 | |
Daniel J Walsh, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2367 | |
Dr. Karen Ann Johnson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2378 |