| Stephanie Kathryn Potter, MD | |
|
207 1st St S, Nampa, ID 83651-3703 | |
| (208) 466-7869 | |
| (208) 466-5359 |
| Full Name | Stephanie Kathryn Potter |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 207 1st St S, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609892413 | NPI | - | NPPES |
| 1609892413 | Medicaid | ID | |
| 1196215 | Other | ID | MEDICARE PTAN |
| P01009617 | Other | ID | MEDICARE RAILROAD |
| Entity Name | Sound Physicians Of Idaho |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730407461 PECOS PAC ID: 4688705346 Enrollment ID: O20100624000921 |
| Entity Name | Boise Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356883326 PECOS PAC ID: 9537441241 Enrollment ID: O20170112001761 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Kathryn Potter, MD Po Box 9, Nampa, ID 83653-0009 Ph: (208) 467-4431 | Stephanie Kathryn Potter, MD 207 1st St S, Nampa, ID 83651-3703 Ph: (208) 466-7869 |
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 |