| Dr Isaac L Elam, MD | |
|
1210 Nw 16th St, Fruitland, ID 83619-2202 | |
| (208) 452-8600 | |
| Not Available |
| Full Name | Dr Isaac L Elam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 1210 Nw 16th St, Fruitland, 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 |
|---|---|---|---|
| 1497998215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M-11624 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Healthcare At Home | Nampa, ID | Home health agency |
| Horizon Home Health | Meridian, ID | Home health agency |
| Encompass Health Home Health Of Western Idaho | Fruitland, ID | Home health agency |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Pioneer Nursing Home | Vale, OR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Isaac L Elam, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Dr Isaac L Elam, MD 1210 Nw 16th St, Fruitland, ID 83619-2202 Ph: (208) 452-8600 |
Dr. Mark David Christenson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St Ste 102, Fruitland, ID 83619 Phone: 208-452-8015 Fax: 208-452-8055 |