Richard Radnovich, DO | |
4850 N Rosepoint Way, Ste 100, Boise, ID 83713 | |
(208) 939-2100 | |
Not Available |
Full Name | Richard Radnovich |
---|---|
Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 4850 N Rosepoint Way, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407944655 | NPI | - | NPPES |
806047900 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | O-259 (Idaho) | Primary |
208VP0000X | Pain Medicine - Pain Medicine | O-259 (Idaho) | Secondary |
Entity Name | Richard Radnovich Do Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417143926 PECOS PAC ID: 9739132218 Enrollment ID: O20050224000306 |
Mailing Address | Practice Location Address |
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Richard Radnovich, DO 4850 N Rosepoint Way, Ste 100, Boise, ID 83713 Ph: () - | Richard Radnovich, DO 4850 N Rosepoint Way, Ste 100, Boise, ID 83713 Ph: (208) 939-2100 |
Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480 | |
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 | |
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 | |
Sarah A Hershman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Summer E Szumski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Thornton E Bryan Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-381-6500 Fax: 208-381-6505 | |
Irvin E Sackman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 E Boise Ave, Boise, ID 83706 Phone: 208-345-4066 Fax: 208-345-4196 |