| Angella M Zieba, MD | |
|
3217 W Bavaria St, Eagle, ID 83616-5171 | |
| (208) 302-6200 | |
| (208) 302-6245 |
| Full Name | Angella M Zieba |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3217 W Bavaria St, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730131905 | NPI | - | NPPES |
| M8679 | Other | ID | STATE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M8679 (Idaho) | Primary |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Angella M Zieba, MD Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170 | Angella M Zieba, MD 3217 W Bavaria St, Eagle, ID 83616-5171 Ph: (208) 302-6200 |
Noreen A. Womack, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 W State St, Suite 100, Eagle, ID 83616 Phone: 208-939-1035 Fax: 208-939-8970 | |
Mr. Nicholas J Lewis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St Ste And2107, Eagle, ID 83616 Phone: 208-473-3500 Fax: 208-473-3510 | |
Mrs. Amanda Beth Wartner Stinger, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 W State St, Eagle, ID 83616 Phone: 208-939-1035 | |
Dr. Daniela Grigore, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3217 W Bavaria Street, Eagle, ID 83616 Phone: 208-302-6200 Fax: 208-302-6255 | |
Hailey N. Baisch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 W State St Ste 100, Eagle, ID 83616 Phone: 208-939-1035 | |
Dr. Alan Paul Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 125 Stierman Way, Eagle, ID 83616 Phone: 208-939-4880 Fax: 208-939-5003 | |
Nathan J Hirsch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 W State St, Ste 100, Eagle, ID 83616 Phone: 208-939-1035 |