| Dr Donald J Beasley, MD | |
|
8854 W Emerald St Ste 150, Boise, ID 83704-4844 | |
| (208) 229-2368 | |
| (888) 815-1621 |
| Full Name | Dr Donald J Beasley |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 32 Years |
| Location | 8854 W Emerald St Ste 150, Boise, 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 |
|---|---|---|---|
| 1770573750 | NPI | - | NPPES |
| 040013862 | Other | ID | RAILROAD MEDICARE |
| 000010004823 | Other | ID | BLUE SHIELD |
| 000010004824 | Other | ID | BLUE SHIELD |
| DM735 | Other | ID | BLUE CROSS |
| 805241200 | Medicaid | ID | |
| 38117 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | M-7576 (Idaho) | Primary |
| 207Y00000X | Otolaryngology | M7576 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Treasure Valley Hospital | Boise, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boise Ent Llc | 2961810213 | 2 |
| Entity Name | Boise Ent Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174108674 PECOS PAC ID: 2961810213 Enrollment ID: O20211027002296 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald J Beasley, MD 8854 W Emerald St Ste 150, Boise, ID 83704-4844 Ph: (208) 229-2368 | Dr Donald J Beasley, MD 8854 W Emerald St Ste 150, Boise, ID 83704-4844 Ph: (208) 229-2368 |
Seung Yong Ji, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-336-4368 | |
Mrs. Tiffany Kearny, PA Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-7423 | |
Dr. Eric T Garner, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 900 N Liberty St, Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-367-7474 | |
Dr. Jacob G Robison, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-9590 | |
Dr. Todd Rustad, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 900 N Liberty St, Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-367-7474 | |
Tyson Nielsen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-267-3979 | |
David Michael Lewis, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-3320 |