Scott R Hiatt, DO is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Nampa, Idaho. Scott R Hiatt is licensed to practice in Idaho (license number O289) and his current practice location is 1524 12th Ave Rd, Nampa, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 463-5050.
NPI number for Scott R Hiatt is 1093705030 and his current mailing address is 190 E Bannock St, Boise, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093705030.
Physician's Profile
| Full Name | Scott R Hiatt |
|---|
| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 1524 12th Ave Rd, Nampa, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093705030
- Provider Enumeration Date: 10/21/2005
- Last Update Date: 05/21/2014
Medical Identifiers
Medical identifiers for Scott R Hiatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093705030 | NPI | - | NPPES |
| 000010149338 | Other | ID | BLUE SHIELD |
| S5486 | Other | ID | BLUE CROSS |
| 806467500 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | O289 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Scott R Hiatt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Scott R Hiatt, DO
190 E Bannock St,
Boise, ID 83712-6241
Ph: (208) 463-5050 | Scott R Hiatt, DO
1524 12th Ave Rd,
Nampa, ID 83686-6008
Ph: (208) 463-5050 |
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