Thomas Crellin Manning, MD | |
6140 W Curtisian Ave Ste 400, Boise, ID 83704-8907 | |
(208) 327-5600 | |
(208) 327-5602 |
Full Name | Thomas Crellin Manning |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 25 Years |
Location | 6140 W Curtisian Ave Ste 400, Boise, 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 |
---|---|---|---|
1861501637 | NPI | - | NPPES |
8944944 | Other | CRIMES VICTIMS | |
1861501637 | Medicaid | ID | |
20140 | Other | ID | BLUE CROSS OF IDAHO |
006154 | Other | OMAP | |
0222532 | Other | ID | WA DEPT OF LABOR |
100001035500 | Other | ID | REGENCE BLUESHIELD OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | M9928 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Treasure Valley Hospital | Boise, ID | Hospital |
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
St Luke's Mccall | Mccall, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Manning Neurosurgery, Pllc | 3870722051 | 3 |
Entity Name | Manning Neurosurgery, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144484932 PECOS PAC ID: 3870722051 Enrollment ID: O20150717001763 |
Mailing Address | Practice Location Address |
---|---|
Thomas Crellin Manning, MD 6140 W Curtisian Ave Ste 400, Boise, ID 83704-8907 Ph: (208) 327-5600 | Thomas Crellin Manning, MD 6140 W Curtisian Ave Ste 400, Boise, ID 83704-8907 Ph: (208) 327-5600 |
Kenneth M Little, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, 10th Floor, Boise, ID 83712 Phone: 208-381-5500 Fax: 208-381-2555 | |
Bruce J Andersen, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty St, Suite 303, Boise, ID 83704 Phone: 208-367-4035 Fax: 208-367-7111 | |
Roy Tyler Frizzell, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Ste 307, Boise, ID 83702 Phone: 208-344-1000 Fax: 208-344-1331 | |
Michael V Hajjar, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6140 W Curtisian Ave Ste 400, Boise, ID 83704 Phone: 208-327-5600 Fax: 208-327-5602 | |
Michael L Henbest, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 6140 Curtisian Ave, Suite 400, Boise, ID 83704 Phone: 208-367-3500 Fax: 208-367-2968 | |
Dr. Donald John Blaskiewicz, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St Fl 10, Boise, ID 83712 Phone: 208-381-5500 | |
Phillip Clayton Berryhill, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 N. Curtis Rd, Suite 201, Boise, ID 83706 Phone: 208-367-4000 Fax: 208-367-4052 |