| Dr Alicia Marie Sauter, MD | |
|
7600 N Mineral Dr Ste 110, Coeur D Alene, ID 83815-7763 | |
| (208) 619-8250 | |
| (208) 981-9201 |
| Full Name | Dr Alicia Marie Sauter |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 7600 N Mineral Dr Ste 110, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801239553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M-16172 (Idaho) | Primary |
| 208000000X | Pediatrics | MD176973 (Oregon) | Secondary |
| Entity Name | Hillsboro Pediatric Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245312842 PECOS PAC ID: 0143294694 Enrollment ID: O20040821000173 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alicia Marie Sauter, MD 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300 | Dr Alicia Marie Sauter, MD 7600 N Mineral Dr Ste 110, Coeur D Alene, ID 83815-7763 Ph: (208) 619-8250 |
Dr. Thomas R Rau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Dr. Sarah Renee Claussen, D.O. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5187 Fax: 208-625-6892 | |
Terence Earl Neff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Bryan Jonathan Furr, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5187 | |
Dr. Brook Yuknis Lang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5185 Fax: 208-625-5892 | |
Dr. Timothy Joseph Gay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6446 | |
Dr. Mary Jo Shaw, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 |