Matthew S Brown, MD | |
315 E Elm St Ste 100, Caldwell, ID 83605-4858 | |
(208) 302-7100 | |
(208) 302-7189 |
Full Name | Matthew S Brown |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 315 E Elm St Ste 100, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508809914 | NPI | - | NPPES |
804218100 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M7233 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Matthew S Brown, MD 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 302-7100 | Matthew S Brown, MD 315 E Elm St Ste 100, Caldwell, ID 83605-4858 Ph: (208) 302-7100 |
Jee Hur, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E Elm Street, Ste 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-453-3307 | |
Natasha Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E Elm, Ste 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-453-3307 | |
Amanda Lee, Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605 Phone: 208-505-2950 | |
Merle L. Keller Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E. Elm Ste 100, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7155 | |
Timothy Curtis Borup, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E Elm St Ste 100, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7155 | |
David Babbel, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E Elm St, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7155 |