Michael L Roach, MD | |
315 E Elm St Ste 200, Caldwell, ID 83605-4857 | |
(208) 302-7500 | |
(208) 302-7555 |
Full Name | Michael L Roach |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 315 E Elm St Ste 200, Caldwell, 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 |
---|---|---|---|
1528004389 | NPI | - | NPPES |
805573200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD203385 (Oregon) | Secondary |
207Q00000X | Family Medicine | M7815 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
Saint Alphonsus Medical Center- Ontario Inc | 1456488899 | 27 |
Saint Alphonsus Medical Center Baker City Inc | 4981732518 | 8 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
Mailing Address | Practice Location Address |
---|---|
Michael L Roach, MD 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 302-7500 | Michael L Roach, MD 315 E Elm St Ste 200, Caldwell, ID 83605-4857 Ph: (208) 302-7500 |
Stacy Jane Lamers, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217 | |
Zachary A Leckenby, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 | |
Megan A Schwehr, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 808 Cleveland Blvd, Caldwell, ID 83605 Phone: 208-459-1025 Fax: 208-466-5359 | |
Miss J'cinda J'nae Bitters, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 E Logan St Ste 301, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-459-3372 | |
Jessica D Blancett, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 | |
Lindsay Kaye Orme, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217 | |
Jacob Sup, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-1025 Fax: 208-459-1080 |