Consultants In Epilepsy And Neurology, Pllc | |
1499 W. Hays St. Boise ID 83702-1717 | |
(208) 275-8585 | |
(208) 275-8586 |
Full Name | Consultants In Epilepsy And Neurology, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 1499 W. Hays St., Boise, Idaho |
Authorized Official Name and Position | Robert T. Wechsler (OWNER) |
Authorized Official Contact | 2082758585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Consultants In Epilepsy And Neurology, Pllc 1499 W. Hays St. Boise ID 83702-1717 Ph: (208) 275-8585 | Consultants In Epilepsy And Neurology, Pllc 1499 W. Hays St. Boise ID 83702-1717 Ph: (208) 275-8585 |
NPI Number | 1902155773 |
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Provider Enumeration Date | 09/07/2012 |
Last Update Date | 09/07/2012 |
Medicare PECOS PAC ID | 4486930252 |
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Medicare Enrollment ID | O20170410001148 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902155773 | NPI | - | NPPES |
807254700 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | M9221 (Idaho) | Primary |
Provider Name | Robert T Wechsler |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1962498568 PECOS PAC ID: 9537190087 Enrollment ID: I20050825000141 |
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