Michael Slack, DO | |
4815 Cleveland Blvd, Caldwell, ID 83605-6501 | |
(208) 455-3545 | |
(208) 454-9690 |
Full Name | Michael Slack |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 4815 Cleveland Blvd, 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 |
---|---|---|---|
1679006076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | O-1447 (Idaho) | Primary |
207Q00000X | Family Medicine | S3590 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
West Valley Medical Center | Caldwell, ID | Hospital |
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alliance Medical Group Llc | 3971544685 | 118 |
Entity Name | Alliance Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568413920 PECOS PAC ID: 3971544685 Enrollment ID: O20050512000561 |
Mailing Address | Practice Location Address |
---|---|
Michael Slack, DO 5111 N Travis St Apt 221, Sherman, TX 75092-4073 Ph: () - | Michael Slack, DO 4815 Cleveland Blvd, Caldwell, ID 83605-6501 Ph: (208) 455-3545 |
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 |