Nathan R Mason, MD | |
10717 W State St, Star, ID 83669-6046 | |
(208) 302-6300 | |
(208) 302-6355 |
Full Name | Nathan R Mason |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 10717 W State St, Star, 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 |
---|---|---|---|
1396953196 | NPI | - | NPPES |
500608912 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD125936 (Oregon) | Secondary |
207Q00000X | Family Medicine | M-15457 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
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 |
Mailing Address | Practice Location Address |
---|---|
Nathan R Mason, MD 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 367-5170 | Nathan R Mason, MD 10717 W State St, Star, ID 83669-6046 Ph: (208) 302-6300 |
Derek Kohlhase, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10717 W State St, Star, ID 83669 Phone: 208-302-6300 Fax: 208-302-6355 | |
Dr. Thomas Richard Young Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4815 N High Country Way, Star, ID 83669 Phone: 208-761-6884 |