Mr Nicholas J Lewis, MD | |
3101 E State St Ste And2107, Eagle, ID 83616-6232 | |
(208) 473-3500 | |
(208) 473-3510 |
Full Name | Mr Nicholas J Lewis |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 17 Years |
Location | 3101 E State St Ste And2107, Eagle, 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 |
---|---|---|---|
1134372386 | NPI | - | NPPES |
1134372386 | Medicaid | ID |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Southern Idaho Health Partners Llc | 5395063564 | 70 |
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 |
Entity Name | Southern Idaho Health Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952701401 PECOS PAC ID: 5395063564 Enrollment ID: O20150420000863 |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas J Lewis, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Mr Nicholas J Lewis, MD 3101 E State St Ste And2107, Eagle, ID 83616-6232 Ph: (208) 473-3500 |
Joel C Swanson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 E Riverside Dr, Suite 224, Samg Ehp Family Medicine, Eagle, ID 83616 Phone: 208-302-6000 Fax: 208-302-6055 | |
Dr. Benjamin Ari Satterfield, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-322-1680 Fax: 208-322-1695 | |
Dr. Marion Lynn Luque, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1139 E. Winding Creek Drive, Eagle, ID 83616 Phone: 208-938-8887 Fax: 208-938-8897 | |
Kimberly R Tanabe, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3101 E State St, Suite 2120, Eagle, ID 83616 Phone: 208-473-3275 Fax: 208-473-3276 | |
Dr. Robert John Haake, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 E Shore Dr, Suite 100, Eagle, ID 83616 Phone: 208-995-2802 Fax: 208-995-2804 | |
Dr. Stan A Eisele, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 E Riverside Dr Ste 224, Eagle, ID 83616 Phone: 208-302-6000 Fax: 208-302-6055 | |
Jordan David Smith, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 E Riverside Dr Ste 224, Eagle, ID 83616 Phone: 208-302-6000 Fax: 208-302-6055 |