Tracey Ann Kopperud, DO | |
3520 E Louise Dr, Meridian, ID 83642-6304 | |
(208) 888-0909 | |
(208) 888-5825 |
Full Name | Tracey Ann Kopperud |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 22 Years |
Location | 3520 E Louise Dr, Meridian, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437194388 | NPI | - | NPPES |
21910 | Other | IA | WELLMARK, CLIVE OFFICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | O0690 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ob-gyn Associates, Pa | 4082519467 | 18 |
Entity Name | Ob-gyn Associates, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306816079 PECOS PAC ID: 4082519467 Enrollment ID: O20031201000139 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Tracey Ann Kopperud, DO 3520 E Louise Dr, Meridian, ID 83642-6304 Ph: (208) 888-0909 | Tracey Ann Kopperud, DO 3520 E Louise Dr, Meridian, ID 83642-6304 Ph: (208) 888-0909 |
Marianne L. Zakarian, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2536 N. Stokesberry Place, Meridian, ID 83646 Phone: 208-855-0880 Fax: 208-855-0889 | |
Dr. Laura J Zoellner, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, #2207, Meridian, ID 83642 Phone: 208-288-0989 Fax: 208-288-0976 | |
Dr. Darren Scott Pittard, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3520 E Louise Dr, Meridian, ID 83642 Phone: 208-888-0909 Fax: 208-888-5825 | |
David J Brown, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2960 E. St. Luke's St., Suite 200, Meridian, ID 83642 Phone: 208-378-4264 Fax: 208-957-6891 | |
Peter B Livers, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Ste 1243, Meridian, ID 83642 Phone: 208-884-1919 | |
Scott B Armstrong, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3520 E. Louise Dr, Meridian, ID 83642 Phone: 208-955-0350 Fax: 208-955-0352 | |
Katherine Jane Gentry, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3520 E Louise Dr, Meridian, ID 83642 Phone: 208-888-0909 Fax: 208-888-5825 |