| David M Christensen, MD | |
|
910 Nw 16th St Ste 205, Fruitland, ID 83619-2265 | |
| (208) 452-8100 | |
| (208) 452-8111 |
| Full Name | David M Christensen |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 31 Years |
| Location | 910 Nw 16th St Ste 205, Fruitland, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922041961 | NPI | - | NPPES |
| 71753 | Other | ID | BLUE CROSS |
| 000010148683 | Other | ID | BLUE SHIELD |
| P00190924 | Other | ID | RR MEDICARE |
| 807012400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | M-9086 (Idaho) | Secondary |
| 207X00000X | Orthopaedic Surgery | M-9086 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Cassia Regional Hospital | Burley, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Alphonsus Medical Center- Ontario Inc | 1456488899 | 35 |
| Saint Alphonsus Medical Center- Ontario Inc | 1456488899 | 35 |
| 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 |
| Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
| Entity Name | Teton Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013264183 PECOS PAC ID: 3870744956 Enrollment ID: O20121128000587 |
| Mailing Address | Practice Location Address |
|---|---|
| David M Christensen, MD Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170 | David M Christensen, MD 910 Nw 16th St Ste 205, Fruitland, ID 83619-2265 Ph: (208) 452-8100 |
John D Foote, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th Street, Ste 205, Fruitland, ID 83619 Phone: 208-452-3111 Fax: 208-452-3666 | |
Jan Olof Dahlin, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1118 Nw 16th St, Suite C, Fruitland, ID 83619 Phone: 208-452-2510 Fax: 208-452-2513 |