| James G. Saccomando, Jr, M.d P.a. | |
|
1423 W Franklin St Boise ID 83702-5024 | |
| (208) 345-2212 | |
| (208) 345-2282 |
| Full Name | James G. Saccomando, Jr, M.d P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1423 W Franklin St, Boise, Idaho |
| Authorized Official Name and Position | James G Saccomando (DOCTOR) |
| Authorized Official Contact | 2083452212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James G. Saccomando, Jr, M.d P.a. 1423 W Franklin St Boise ID 83702-5024 Ph: (208) 345-2212 | James G. Saccomando, Jr, M.d P.a. 1423 W Franklin St Boise ID 83702-5024 Ph: (208) 345-2212 |
| NPI Number | 1720244700 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 03/08/2018 |
| Medicare PECOS PAC ID | 8628146552 |
|---|---|
| Medicare Enrollment ID | O20081006000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720244700 | NPI | - | NPPES |
| 807512200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M9565 (Idaho) | Primary |
| Provider Name | James Giacomo Saccomando |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487602330 PECOS PAC ID: 8921079781 Enrollment ID: I20080612000719 |
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