| Demsie M Butler, MD | |
|
132 5th Ave W Ste 1&2, Jerome, ID 83338-1871 | |
| (208) 814-9800 | |
| (208) 933-9648 |
| Full Name | Demsie M Butler |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 132 5th Ave W Ste 1&2, Jerome, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457098386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-17642 (Idaho) | Primary |
| 207Q00000X | Family Medicine | MRM-2141 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Home Care And Hospice | Meridian, ID | Home health agency |
| St Luke's Jerome | Jerome, ID | Hospital |
| St Luke's Magic Valley Rmc | Twin falls, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic Llc | 1052217478 | 313 |
| Entity Name | St Lukes Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Demsie M Butler, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: Not Available | Demsie M Butler, MD 132 5th Ave W Ste 1&2, Jerome, ID 83338-1871 Ph: (208) 814-9800 |
Dr. James S Irwin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W, Suite 1, Jerome, ID 83338 Phone: 208-814-9800 Fax: 208-814-9833 |
Michael J Keller, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1, Jerome, ID 83338 Phone: 208-814-9800 |
Brian Lee Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-4301 |
Elizabeth Hart Sugden, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W, Jerome, ID 83338 Phone: 208-324-5286 Fax: 208-324-9815 |
Logan Anderson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W Ste 1&2, Jerome, ID 83338 Phone: 208-814-9800 |
Dr. Joshua William Kern, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W, Suite 1, Jerome, ID 83338 Phone: 208-814-9800 Fax: 208-814-9835 |
Kendra L Krebs, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1, Jerome, ID 83338 Phone: 208-814-9800 |