| Dr Thomas Boyer, DC | |
|
717 D Street, Lewiston, ID 83501 | |
| (208) 743-1424 | |
| (208) 743-2803 |
| Full Name | Dr Thomas Boyer |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 717 D Street, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386628337 | NPI | - | NPPES |
| C5303 | Other | ID | BC |
| 000010018515 | Other | ID | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA530 (Idaho) | Primary |
| Provider Name | Dr Thomas R Boyer Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568806156 PECOS PAC ID: 9335389162 Enrollment ID: O20130628000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Boyer, DC 717 D Street, Lewiston, ID 83501 Ph: (208) 743-1424 | Dr Thomas Boyer, DC 717 D Street, Lewiston, ID 83501 Ph: (208) 743-1424 |
Dr. Kevin Patrick Ruddell, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1117 16th Avenue, Lewiston, ID 83501 Phone: 208-743-8401 Fax: 208-743-8722 | |
Codi Fuller, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 30207 Rosenkrantz Rd, Lewiston, ID 83501 Phone: 208-691-8647 | |
Lewiston Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3510 12th St Ste 200, Lewiston, ID 83501 Phone: 208-799-3333 Fax: 208-799-3375 | |
Ruddell Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 1117 16th Ave, Lewiston, ID 83501 Phone: 208-743-8401 Fax: 208-743-8722 | |
Dr. Grover Lynn Mallard, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3320 10th St, Lewiston, ID 83501 Phone: 208-746-5226 Fax: 208-746-5268 | |
Julie Moore-fisher, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1132 Burrell Ave, Lewiston, ID 83501 Phone: 208-743-0231 Fax: 208-746-7462 |