Kenneth Verlage, | |
510 N 2nd St Ste 102, Boise, ID 83702-6077 | |
(208) 381-4700 | |
Not Available |
Full Name | Kenneth Verlage |
---|---|
Gender | Male |
Speciality | Urology |
Location | 510 N 2nd St Ste 102, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730620907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | M-17493 (Idaho) | Primary |
208800000X | Urology | MD210158 (Oregon) | Secondary |
Entity Name | The Oregon Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096 |
Entity Name | Ts Billings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497776488 PECOS PAC ID: 0143201954 Enrollment ID: O20040527000506 |
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: O20120420000013 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Verlage, 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Kenneth Verlage, 510 N 2nd St Ste 102, Boise, ID 83702-6077 Ph: (208) 381-4700 |
Sean Patrick Stroup, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 510 N 2nd St Ste 103, Boise, ID 83702 Phone: 208-381-4700 | |
Dr. Kara C Taggart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 510 N 2nd St, Suite 103, Boise, ID 83702 Phone: 208-381-4700 Fax: 208-381-4977 | |
Michele B Ebbers, MD Urology Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6196 Fax: 208-381-6199 | |
Dr. Donald E Walker, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-344-5757 Fax: 208-381-6526 | |
Robert E. Jackson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Suite 3112, Boise, ID 83712 Phone: 208-381-2222 | |
Dr. Edwin Manley Briggs, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1316 Harrison Blvd, Boise, ID 83702 Phone: 208-345-5523 Fax: 208-389-4606 | |
Dr. Stephen A. Brassell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2222 |