| Seasons Allergy & Wellness | |
|
1965 S Eagle Rd Ste 120 Meridian ID 83642-9287 | |
| (208) 906-8400 | |
| (713) 510-1548 |
| Full Name | Seasons Allergy & Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 1965 S Eagle Rd Ste 120, Meridian, Idaho |
| Authorized Official Name and Position | John Anthony Bingham (CEM) |
| Authorized Official Contact | 2088702079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Allergy & Wellness 784 S Clearwater Loop # 8046 Post Falls ID 83854-9599 Ph: (208) 906-8400 | Seasons Allergy & Wellness 1965 S Eagle Rd Ste 120 Meridian ID 83642-9287 Ph: (208) 906-8400 |
| NPI Number | 1376323303 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 4789033218 |
|---|---|
| Medicare Enrollment ID | O20231209000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376323303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa Gaffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730654435 PECOS PAC ID: 3072845528 Enrollment ID: I20191101001281 |
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