| Senior Doc Idaho Pc | |
|
4301 Garrity Blvd Ste 103 Nampa ID 83687-9222 | |
| (855) 434-7763 | |
| (949) 281-5550 |
| Full Name | Senior Doc Idaho Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4301 Garrity Blvd Ste 103, Nampa, Idaho |
| Authorized Official Name and Position | John Geiss (OWNER/DOCTOR) |
| Authorized Official Contact | 8554347763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Doc Idaho Pc 5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8714 Ph: (558) 434-7763 | Senior Doc Idaho Pc 4301 Garrity Blvd Ste 103 Nampa ID 83687-9222 Ph: (855) 434-7763 |
| NPI Number | 1750961637 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 01/13/2025 |
| Medicare PECOS PAC ID | 0648689174 |
|---|---|
| Medicare Enrollment ID | O20210512002640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750961637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John Mark Geiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053651497 PECOS PAC ID: 5890933071 Enrollment ID: I20130529000756 |
First Care Medical Of Idaho, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 2nd St S, Nampa, ID 83651 Phone: 208-461-6523 | |
Hospitalist Medicine Physicians Of Idaho-tcg, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 E Flamingo Ave, Nampa, ID 83687 Phone: 208-205-1000 | |
Mercy Physician Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5000 Fax: 208-463-5578 | |
Greene Mountain Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3719 Wheeler Cir, Nampa, ID 83686 Phone: 208-695-0388 Fax: 208-606-3682 | |
Northwest Nazarene University Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 S University Blvd, Nampa, ID 83686 Phone: 208-467-8643 | |