Nathan Tillotson, | |
315 E Elm St Ste 310, Caldwell, ID 83605-4881 | |
(208) 454-2035 | |
(208) 454-1065 |
Full Name | Nathan Tillotson |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Obstetrics |
Location | 315 E Elm St Ste 310, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770670473 | NPI | - | NPPES |
200048030A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 02426 (Kentucky) | Secondary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 0546950 (Kansas) | Primary |
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Entity Name | Cherokee Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Entity Name | Southeast Alaska Regional Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
Mailing Address | Practice Location Address |
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Nathan Tillotson, Po Box 742941, Atlanta, GA 30374-2941 Ph: () - | Nathan Tillotson, 315 E Elm St Ste 310, Caldwell, ID 83605-4881 Ph: (208) 454-2035 |
Michael J Robinson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 315 Elm Street, Ste 310, Caldwell, ID 83605 Phone: 208-454-2035 Fax: 208-454-1065 | |
Brenda S Davies, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 315 E Elm St, Suite 310, Caldwell, ID 83605 Phone: 208-454-2035 Fax: 208-454-1065 | |
Dr. Carlton Sherman Pearse, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 310, Caldwell, ID 83605 Phone: 208-454-2035 Fax: 208-454-1065 | |
Dr. Eugene Kaplan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 310, Caldwell, ID 83605 Phone: 208-454-2035 Fax: 208-454-1065 | |
Etta Kathryn Nevel, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 315 E Elm St Ste 310, Caldwell, ID 83605 Phone: 208-454-2035 Fax: 208-454-1065 | |
Theodore W Colwell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 315 Elm Street, Ste 310, Caldwell, ID 83605 Phone: 208-454-2035 Fax: 208-454-1065 | |
Jessica Elaine Fu, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 315 Elm Street, Ste 310, Caldwell, ID 83605 Phone: 208-454-2035 Fax: 208-454-1065 |