Janice Boughton, MD | |
700 S Main St, Moscow, ID 83843-3056 | |
(509) 334-8567 | |
(208) 883-6551 |
Full Name | Janice Boughton |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 700 S Main St, Moscow, 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 |
---|---|---|---|
1497784219 | NPI | - | NPPES |
002641100 | Medicaid | ID | |
8116196 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00025772 (Washington) | Secondary |
207R00000X | Internal Medicine | M-6527 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Association Of Spokane | 9638063217 | 158 |
Entity Name | Community Health Association Of Spokane |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235372707 PECOS PAC ID: 9638063217 Enrollment ID: O20090723000312 |
Mailing Address | Practice Location Address |
---|---|
Janice Boughton, MD 700 S Main St, Moscow, ID 83843-3056 Ph: (509) 334-8567 | Janice Boughton, MD 700 S Main St, Moscow, ID 83843-3056 Ph: (509) 334-8567 |
Dr. Lesley Anne Cruz Portugal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Robert Neal Spady, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 S Washington, Suite 203, Moscow, ID 83843 Phone: 208-892-1346 Fax: 208-892-8306 | |
Dr. Srijana Rai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St Ste 210, Moscow, ID 83843 Phone: 509-228-1000 Fax: 509-252-9300 | |
Dr. Christopher J Bullard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 719 S Main St, Moscow, ID 83843 Phone: 208-883-1152 Fax: 208-882-1486 | |
Dr. Randall F Kloepfer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Dr. Ellenmarie Zwank Brown, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 318-329-4719 |