| Dr Gavin Ross Powell, MD | |
|
318 2nd St S, Nampa, ID 83651-3765 | |
| (208) 467-3006 | |
| (208) 467-1155 |
| Full Name | Dr Gavin Ross Powell |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 30 Years |
| Location | 318 2nd St S, Nampa, 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 |
|---|---|---|---|
| 1215933940 | NPI | - | NPPES |
| 805173400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | M7519 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Entity Name | Dermatology Center Of Canyon County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578694238 PECOS PAC ID: 3072589209 Enrollment ID: O20040908001222 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gavin Ross Powell, MD 318 2nd St S, Nampa, ID 83651-3765 Ph: (208) 467-3006 | Dr Gavin Ross Powell, MD 318 2nd St S, Nampa, ID 83651-3765 Ph: (208) 467-3006 |
Warren N. Miller, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4400 E Flamingo Ave, Nampa, ID 83687 Phone: 208-288-4970 Fax: 208-463-3044 | |
Ted James Ryser, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 318 2nd Street South, Nampa, ID 83651 Phone: 208-467-3006 Fax: 208-467-1155 | |
Andrea Cortes Dobson, PA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 318 2nd St S, Nampa, ID 83651 Phone: 208-467-3006 Fax: 208-467-1155 | |
Ryan Scott Owsley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16111 N Brinson St Ste 100, Nampa, ID 83687 Phone: 208-467-7546 Fax: 208-467-7500 |