Theodore K Krisher, MD | |
2315 8th St, Lewiston, ID 83501-7301 | |
(208) 746-1383 | |
(208) 746-6348 |
Full Name | Theodore K Krisher |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 50 Years |
Location | 2315 8th St, Lewiston, 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 |
---|---|---|---|
1396828158 | NPI | - | NPPES |
1396828158 | Other | ID | REGENCE BLUESHIELD |
1089838 | Medicaid | WA | |
0171659 | Other | WA | WA LABOR & INDUSTRIES |
DF508 | Other | ID | BLUE CROSS |
1396828158 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M3676 (Idaho) | Primary |
208000000X | Pediatrics | MD00040584 (Washington) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Catalyst Medical Group Pllc | 2365722105 | 37 |
Entity Name | Catalyst Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001188 |
Mailing Address | Practice Location Address |
---|---|
Theodore K Krisher, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 | Theodore K Krisher, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 |
Natale Carasali, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Gregory P Schultz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Dr. Darby S Lynch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Robert Todd Parkey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Dr. Craig N. Ambroson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Dr. Tysen L Weber, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 |