Samuel M Summers, MD | |
315 E Elm St, Suite 100, Caldwell, ID 83605-4857 | |
(208) 302-7100 | |
(208) 302-7155 |
Full Name | Samuel M Summers |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 315 E Elm St, 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 |
---|---|---|---|
1649216805 | NPI | - | NPPES |
003955300 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M4192 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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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 |
---|---|
Samuel M Summers, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 302-7100 | Samuel M Summers, MD 315 E Elm St, Suite 100, Caldwell, ID 83605-4857 Ph: (208) 302-7100 |
Stacy Jane Lamers, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217 | |
Zachary A Leckenby, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 | |
Megan A Schwehr, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 808 Cleveland Blvd, Caldwell, ID 83605 Phone: 208-459-1025 Fax: 208-466-5359 | |
Miss J'cinda J'nae Bitters, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 E Logan St Ste 301, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-459-3372 | |
Jessica D Blancett, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 | |
Lindsay Kaye Orme, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217 | |
Jacob Sup, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-1025 Fax: 208-459-1080 |