| Dr Justin Fowler, MD | |
|
6165 W Emerald St, Boise, ID 83704-8613 | |
| (208) 302-3900 | |
| (208) 302-3955 |
| Full Name | Dr Justin Fowler |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 19 Years |
| Location | 6165 W Emerald St, 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 |
|---|---|---|---|
| 1386835585 | NPI | - | NPPES |
| 2016027259 | Other | MO | MO LICENSE |
| 390382503 | Medicaid | TX | |
| 1L5640 | Other | TX | MEDICARE |
| P02601779 | Other | TX | MCRR |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Magic Valley Rmc | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acute Care Surgery Medical Group Inc | 7214006816 | 205 |
| Acute Care Surgery Medical Group Inc | 7214006816 | 205 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
| Entity Name | Surgical Affiliates of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20130618000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Fowler, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-3174 | Dr Justin Fowler, MD 6165 W Emerald St, Boise, ID 83704-8613 Ph: (208) 302-3900 |
Dr. Craig B. Bass, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 Bobwhite Ct, # 275, Boise, ID 83706 Phone: 208-333-0200 Fax: 208-333-0399 |
Aziz George Munayirji, MD Surgery Medicare: Medicare Enrolled Practice Location: 999 N Curtis Rd, Suite 415, Boise, ID 83706 Phone: 208-367-7676 Fax: 208-367-5595 |
John M Livingston, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 8756 W Emerald St, Suite 136, Boise, ID 83704 Phone: 208-853-3051 Fax: 208-853-3053 |
Jason A Kemp, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N 2nd St, Suite 202, Boise, ID 83702 Phone: 208-381-6390 Fax: 208-381-6395 |
Dr. Graham W Donald, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 N 1st St Ste 280, Boise, ID 83702 Phone: 208-345-6545 Fax: 208-345-1213 |
Dr. Ciara Rosemary Huntington, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 North 2nd Street, Suite 107, Boise, ID 83702 Phone: 208-344-4999 Fax: 208-344-4990 |
Elizabeth R Livingston, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N 2nd St, Suite 111, Boise, ID 83702 Phone: 208-381-3915 Fax: 208-381-3918 |