Shane A Andrew, DO | |
4424 E Flamingo Ave, Suite 110, Nampa, ID 83687 | |
(208) 288-4700 | |
(208) 288-4720 |
Full Name | Shane A Andrew |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 23 Years |
Location | 4424 E Flamingo Ave, 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 |
---|---|---|---|
1356308316 | NPI | - | NPPES |
807749400 | Medicaid | ID | |
P00413752 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | O0443 (Idaho) | Secondary |
207X00000X | Orthopaedic Surgery | OS9764 (Florida) | Secondary |
207X00000X | Orthopaedic Surgery | O-0443 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
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 |
---|---|
Shane A Andrew, DO 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 367-5170 | Shane A Andrew, DO 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687 Ph: (208) 288-4700 |
Charles Clark Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-706-2663 Fax: 208-489-4300 | |
Keith G Holley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687 Phone: 208-288-4700 Fax: 208-288-4720 | |
Tildon C Robinson Iv, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687 Phone: 208-288-4700 Fax: 208-288-4720 | |
Aaron Franklin Newton, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4400 E Flamingo Ave Ste 200, Nampa, ID 83687 Phone: 208-302-2700 Fax: 208-302-2725 | |
Jared T Armstrong, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9850 St Lukes Dr, Nampa, ID 83687 Phone: 208-706-2663 | |
Dr. Miers C Johnson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687 Phone: 208-288-4700 Fax: 208-288-4720 |