| Dr Brandy Marie Tacia, DO | |
|
750 N Syringa St Ste 203a, Post Falls, ID 83854-5275 | |
| (208) 262-2717 | |
| (208) 262-2719 |
| Full Name | Dr Brandy Marie Tacia |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 19 Years |
| Location | 750 N Syringa St Ste 203a, Post Falls, 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 |
|---|---|---|---|
| 1467667550 | NPI | - | NPPES |
| 1467667550 | Medicaid | ID | |
| 2013695 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | O-0622 (Idaho) | Secondary |
| 207Y00000X | Otolaryngology | O-0622 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Specialty Hospital | Post falls, ID | Hospital |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Boundary Community Hospital | Bonners ferry, ID | Hospital |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Idaho Day Surgery Llc | 0840101218 | 76 |
| Entity Name | North Idaho Day Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104824739 PECOS PAC ID: 0840101218 Enrollment ID: O20110401000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandy Marie Tacia, DO 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300 | Dr Brandy Marie Tacia, DO 750 N Syringa St Ste 203a, Post Falls, ID 83854-5275 Ph: (208) 262-2717 |
Dr. Alexander James Caten, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 203a, Post Falls, ID 83854 Phone: 208-262-2717 Fax: 208-262-2719 | |
Dr. Chad D Mccormick, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 849 N Syringa St, Post Falls, ID 83854 Phone: 208-777-1320 Fax: 208-777-1322 | |
Dr. Michael Erik Gilbert, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 849 N Syringa St, Post Falls, ID 83854 Phone: 208-777-1320 Fax: 208-777-1322 |