| Donald Levin, DO | |
|
21 E Maple St, Suite A, Hailey, ID 83333-4900 | |
| (208) 788-3200 | |
| (208) 788-3386 |
| Full Name | Donald Levin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 52 Years |
| Location | 21 E Maple St, Hailey, 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 |
|---|---|---|---|
| 1841258621 | NPI | - | NPPES |
| P00434702 | Other | ID | RR MEDICARE |
| 002498800 | Medicaid | ID | |
| P01032140 | Other | ID | MCRR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-14 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Services Corporation | 7012815038 | 47 |
| Entity Name | Family Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033165550 PECOS PAC ID: 7012815038 Enrollment ID: O20040216000531 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Levin, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Donald Levin, DO 21 E Maple St, Suite A, Hailey, ID 83333-4900 Ph: (208) 788-3200 |
Mrs. Cortney A Vandenburgh, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Frank M Batcha, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Thomas E Archie Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Kathryn A Woods, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Amy C Drumm, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Ste 100, Hailey, ID 83333 Phone: 208-788-3434 | |
Lois Adrian, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Lucinda Leigh Morse, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 |