Vicente Jose Undurraga Perl, MD | |
999 N Curtis Road, Ste 415, Boise, ID 83706 | |
(208) 302-2600 | |
(208) 302-2625 |
Full Name | Vicente Jose Undurraga Perl |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 14 Years |
Location | 999 N Curtis Road, 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 |
---|---|---|---|
1083931067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | M-14232 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Patrick Hospital | Missoula, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Mt | 6608786306 | 285 |
Entity Name | Providence Health & Services Mt |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Mailing Address | Practice Location Address |
---|---|
Vicente Jose Undurraga Perl, MD 3340 E Goldstone Way, Meridian, ID 83642 Ph: (208) 302-2600 | Vicente Jose Undurraga Perl, MD 999 N Curtis Road, Ste 415, Boise, ID 83706 Ph: (208) 302-2600 |
Dr. Craig B. Bass, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 Bobwhite Ct, # 275, Boise, ID 83706 Phone: 208-333-0200 Fax: 208-333-0399 | |
Aziz George Munayirji, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 N Curtis Rd, Suite 415, Boise, ID 83706 Phone: 208-367-7676 Fax: 208-367-5595 | |
John M Livingston, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 8756 W Emerald St, Suite 136, Boise, ID 83704 Phone: 208-853-3051 Fax: 208-853-3053 | |
Jason A Kemp, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N 2nd St, Suite 202, Boise, ID 83702 Phone: 208-381-6390 Fax: 208-381-6395 | |
Dr. Patrick Cole, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1070 N Curtis Rd Ste 135, Boise, ID 83706 Phone: 208-947-5390 Fax: 208-947-3465 | |
Dr. Graham W Donald, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 N 1st St Ste 280, Boise, ID 83702 Phone: 208-345-6545 Fax: 208-345-1213 | |
Courtney Alyson Green, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 N Curtis Rd Ste 415, Boise, ID 83706 Phone: 208-302-2600 Fax: 208-302-2625 |