| Dr Kenneth John Gramyk, MD | |
|
6051 W Emerald St, Boise, ID 83704-8969 | |
| (208) 302-5150 | |
| (208) 302-5155 |
| Full Name | Dr Kenneth John Gramyk |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 39 Years |
| Location | 6051 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 |
|---|---|---|---|
| 1598778136 | NPI | - | NPPES |
| 003704700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M6718 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Medical Center | Renton, WA | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tele911 Texas Emergency Medical Group Pllc | 6103217831 | 10 |
| Valley Medical Group-renton | 4183753965 | 425 |
| Entity Name | Primary Health Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770048704 PECOS PAC ID: 7810237740 Enrollment ID: O20190312003418 |
| Entity Name | Tele911 Texas Emergency Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396401006 PECOS PAC ID: 6103217831 Enrollment ID: O20220106001372 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth John Gramyk, MD Po Box 190930, Boise, ID 83719-0930 Ph: (083) 675-1702 | Dr Kenneth John Gramyk, MD 6051 W Emerald St, Boise, ID 83704-8969 Ph: (208) 302-5150 |
Matthew Judd, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-322-1730 Fax: 208-322-1731 | |
Dr. Ann M Weiss, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6052 W State St, Boise, ID 83703 Phone: 208-344-7799 Fax: 208-344-7152 | |
Dr. Aaron L. Holsinger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13960 W Wainwright Dr, Boise, ID 83713 Phone: 208-947-5390 Fax: 208-947-3465 | |
Andrew Steven Coleman, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2235 Fax: 208-381-4556 | |
Lori J Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Fort St., # 111, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1319 | |
Elizabeth Peacock, MD, PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2235 | |
Dr. Rachael A Bodes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-8748 |