Natalie A Domangue-shiflett, MD | |
4740 N Penngrove Way, Ste 100, Meridian, ID 83646 | |
(208) 938-3663 | |
(208) 938-3664 |
Full Name | Natalie A Domangue-shiflett |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 4740 N Penngrove Way, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376510123 | NPI | - | NPPES |
H36269 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-9985 (Idaho) | Primary |
Entity Name | Terry M Little |
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Entity Type | Practitioner - Family Practice |
Entity Identifiers | NPI Number: 1487760740 PECOS PAC ID: 8820995145 Enrollment ID: I20060316000211 |
Entity Name | Pioneer Family Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952335929 PECOS PAC ID: 5193877850 Enrollment ID: O20090710000464 |
Mailing Address | Practice Location Address |
---|---|
Natalie A Domangue-shiflett, MD 4740 N Penngrove Way, Ste 100, Meridian, ID 83646 Ph: (208) 938-3663 | Natalie A Domangue-shiflett, MD 4740 N Penngrove Way, Ste 100, Meridian, ID 83646 Ph: (208) 938-3663 |
Christina Marie Freston, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1552 N Crestmont Dr Ste B, Meridian, ID 83642 Phone: 208-985-2260 | |
Dr. Warren Hunter Looney, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 260 S Ten Mile Rd, Meridian, ID 83642 Phone: 208-809-2872 | |
Marisa A Battaglia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1623 Wells Ave, Meridian, ID 83642 Phone: 208-489-1450 | |
Mrs. Elaine M. Davidson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2840 S Meridian Rd, Meridian, ID 83642 Phone: 208-593-6393 Fax: 208-593-6402 | |
Catherine J Reynolds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala, Suite 150, Meridian, ID 83642 Phone: 208-345-3530 Fax: 208-381-5080 | |
Raymond Paul Hooft, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3041 E Copper Point Dr, Meridian, ID 83642 Phone: 208-514-4400 Fax: 208-514-4404 | |
Dr. Jason Scott Ludwig, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4740 N Penngrove Way Ste 100, Meridian, ID 83646 Phone: 208-938-3663 Fax: 208-938-3664 |