Matthew D Renner, MD | |
100 E Idaho St, Suite 400, Boise, ID 83712-6267 | |
(208) 345-5250 | |
Not Available |
Full Name | Matthew D Renner |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 18 Years |
Location | 100 E Idaho St, 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 |
---|---|---|---|
1174787097 | NPI | - | NPPES |
1174787097 | Medicaid | ID | |
19627874 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD155496 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
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: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Matthew D Renner, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Matthew D Renner, MD 100 E Idaho St, Suite 400, Boise, ID 83712-6267 Ph: (208) 345-5250 |
Cristin C Slater, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 111 Main St, #100, Boise, ID 83702 Phone: 208-342-5900 Fax: 208-342-2088 | |
Maryalice Lopez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 333 N 1st St Ste 240, Boise, ID 83702 Phone: 208-338-8900 | |
Martha H Lund, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6140 Curtisian Ave, Suite 100, Boise, ID 83704 Phone: 208-367-4224 Fax: 208-367-7806 | |
Bradley Holbrook, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 333 N 1st St Ste 150, Boise, ID 83702 Phone: 208-381-3088 Fax: 208-381-4314 | |
Dr. B Kerry Lowder, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 400, Boise, ID 83712 Phone: 208-345-5250 Fax: 208-345-2364 | |
Dr. Michael F Koszalka Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 333 N 1st St Ste 150, Boise, ID 83702 Phone: 208-381-3088 | |
Dr. Juliana L Digiosia, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty St, Suite 100, Boise, ID 83704 Phone: 208-302-1200 Fax: 208-302-1255 |