| Dr Austen Daniel Slade, MD | |
|
8854 W Emerald St Ste 140, Boise, ID 83704-4845 | |
| (208) 321-4790 | |
| Not Available |
| Full Name | Dr Austen Daniel Slade |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 10 Years |
| Location | 8854 W Emerald St Ste 140, 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 |
|---|---|---|---|
| 1467815530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01085346A (Indiana) | Secondary |
| 208800000X | Urology | M-16995 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Treasure Valley Hospital | Boise, ID | Hospital |
| West Valley Medical Center | Caldwell, ID | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Surgical Associates Pa | 9133178767 | 9 |
| 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 |
| Entity Name | Capital Surgical Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902854433 PECOS PAC ID: 9133178767 Enrollment ID: O20050120000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Austen Daniel Slade, MD 8854 W Emerald St Ste 140, Boise, ID 83704-4845 Ph: (208) 321-4790 | Dr Austen Daniel Slade, MD 8854 W Emerald St Ste 140, Boise, ID 83704-4845 Ph: (208) 321-4790 |
Sean Patrick Stroup, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 510 N 2nd St Ste 103, Boise, ID 83702 Phone: 208-381-4700 | |
Dr. Kara C Taggart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 510 N 2nd St, Suite 103, Boise, ID 83702 Phone: 208-381-4700 Fax: 208-381-4977 | |
Michele B Ebbers, MD Urology Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6196 Fax: 208-381-6199 | |
Dr. Donald E Walker, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-344-5757 Fax: 208-381-6526 | |
Dr. Edwin Manley Briggs, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1316 Harrison Blvd, Boise, ID 83702 Phone: 208-345-5523 Fax: 208-389-4606 | |
Dr. Stephen A. Brassell, MD Urology Medicare: Medicare Enrolled Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2222 |