| Andrew Steven Coleman, DO | |
| 
					190 E Bannock St, Boise, ID 83712-6241  | |
| (208) 381-2235 | |
| (208) 381-4556 | 
| Full Name | Andrew Steven Coleman | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 190 E Bannock St, Boise, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013658269 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5151015575 (Michigan) | Secondary | 
| 207P00000X | Emergency Medicine | 3471857 (Idaho) | Primary | 
| Entity Name | Ecs Western Michigan Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrew Steven Coleman, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () -  | Andrew Steven Coleman, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2235  | 
Matthew Judd, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-322-1730 Fax: 208-322-1731  | |
Dr. Ann M Weiss, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6052 W State St, Boise, ID 83703 Phone: 208-344-7799 Fax: 208-344-7152  | |
Dr. Aaron L. Holsinger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13960 W Wainwright Dr, Boise, ID 83713 Phone: 208-947-5390 Fax: 208-947-3465  | |
Lori J Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Fort St., # 111, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1319  | |
Elizabeth Peacock, MD, PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2235  | |
Dr. Rachael A Bodes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-8748  |