Robert Crouch, DO | |
9850 W St Lukes Dr # 329, Nampa, ID 83687-7912 | |
(208) 514-2509 | |
(208) 375-2217 |
Full Name | Robert Crouch |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 9850 W St Lukes Dr # 329, Nampa, 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 |
---|---|---|---|
1164801692 | NPI | - | NPPES |
1164801692 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MRO-1490 (Idaho) | Secondary |
207Q00000X | Family Medicine | O-1030 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Full Circle Health Inc | 6709986797 | 92 |
Entity Name | Full Circle Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618 |
Mailing Address | Practice Location Address |
---|---|
Robert Crouch, DO 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500 | Robert Crouch, DO 9850 W St Lukes Dr # 329, Nampa, ID 83687-7912 Ph: (208) 514-2509 |
Dr. Julia Marie Jensen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Jason Johnston, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1820 Caldwell Blvd, Nampa, ID 83651 Phone: 208-466-6567 Fax: 208-466-7922 | |
Stuart Austin Black Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Heidi Elizabeth Shields, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 N Sister Catherine Way, Nampa, ID 83687 Phone: 208-302-7000 Fax: 208-302-7055 | |
Robert B Buxton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 12th Ave Rd, Ste 200, Nampa, ID 83886 Phone: 208-302-6800 Fax: 208-302-6855 | |
Dora Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9850 W St Lukes Dr Ste 329, Nampa, ID 83687 Phone: 208-514-2509 Fax: 208-375-2217 | |
Jesse Tyler Mcchane, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 207 1st St S, Nampa, ID 83651 Phone: 208-466-7869 Fax: 208-466-5359 |