| Ann C Agnew, MD | |
|
3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | |
| (208) 947-5390 | |
| (208) 947-3465 |
| Full Name | Ann C Agnew |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 3080 E Gentry Way Ste 210, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497797302 | NPI | - | NPPES |
| 806964100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | M9138 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | M9138 (Idaho) | Primary |
| Entity Name | Rocky Mountain Care - Palliative Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386224814 PECOS PAC ID: 2961946868 Enrollment ID: O20240712003736 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann C Agnew, MD 1070 E Opus St, Boise, ID 83716-5274 Ph: (208) 344-4824 | Ann C Agnew, MD 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 Ph: (208) 947-5390 |
Mr. Eric Ld Scholten, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 Fax: 208-323-3768 | |
Lynn Ge-zerbe, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1759 S Millenium Way, Meridian, ID 83642 Phone: 208-387-6546 Fax: 888-334-8747 | |
Dr. Aaron Dunham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 Phone: 208-302-3300 Fax: 208-302-3355 | |
Oleg Sergeevich Kouskov, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 | |
John T Witte, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2235 E Gala St, Meridian, ID 83642 Phone: 208-887-3724 Fax: 208-887-3724 | |
Liang Wu, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3525 E Louise Dr Ste 100, Meridian, ID 83642 Phone: 208-999-0356 | |
John B Dever, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 310, Meridian, ID 83642 Phone: 208-463-3000 |