Katherine Homer, DO | |
4400 E Flamingo Ave Ste 200, Nampa, ID 83687-9203 | |
(208) 302-2700 | |
(208) 302-2725 |
Full Name | Katherine Homer |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 10 Years |
Location | 4400 E Flamingo Ave Ste 200, Nampa, 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 |
---|---|---|---|
1790167757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101021794 (Michigan) | Secondary |
208600000X | Surgery | DO218105 (Oregon) | Secondary |
208600000X | Surgery | O-1915 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Emma L Bixby Medical Center | Adrian, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Promedica Central Corporation Of Michigan | 7012902265 | 107 |
Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
Saint Alphonsus Medical Center- Ontario Inc | 1456488899 | 27 |
Entity Name | Promedica Central Corporation Of Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588624696 PECOS PAC ID: 7012902265 Enrollment ID: O20040416001163 |
Mailing Address | Practice Location Address |
---|---|
Katherine Homer, DO Po Box 190930, Boise, ID 83719-0930 Ph: (208) 302-9342 | Katherine Homer, DO 4400 E Flamingo Ave Ste 200, Nampa, ID 83687-9203 Ph: (208) 302-2700 |
Matthew J. Wood, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5029 | |
Ronald William Cornwell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 Phone: 208-302-2700 Fax: 208-302-2725 | |
Dennis Weiler, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3918 Chicago St, Nampa, ID 83686 Phone: 208-467-5155 | |
Dr. Forrest R Fredline, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 4400 E Flamingo Ave Ste 200, Nampa, ID 83687 Phone: 208-302-2700 Fax: 208-302-2725 | |
Christian P Vetsch, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3141 Fax: 208-463-3044 | |
Richard J Martin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4400 E Flamingo, Ste 200, Nampa, ID 83687 Phone: 208-302-2700 Fax: 208-302-2725 |