| Dr Kirk A Campana, MD | |
|
4750 N Five Mile Rd, Boise, ID 83713-2715 | |
| (208) 375-0500 | |
| (208) 375-4310 |
| Full Name | Dr Kirk A Campana |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 4750 N Five Mile Rd, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205819950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | M-1176-1 (Idaho) | Primary |
| Entity Name | Terry M Little |
|---|---|
| Entity Type | Practitioner - Family Practice |
| Entity Identifiers | NPI Number: 1487760740 PECOS PAC ID: 8820995145 Enrollment ID: I20060316000211 |
| Entity Name | Boise Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356883326 PECOS PAC ID: 9537441241 Enrollment ID: O20170112001761 |
| Entity Name | Bloom Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679134126 PECOS PAC ID: 2466782453 Enrollment ID: O20190917003533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kirk A Campana, MD 4750 N Five Mile Rd, Boise, ID 83713-2715 Ph: (208) 375-0500 | Dr Kirk A Campana, MD 4750 N Five Mile Rd, Boise, ID 83713-2715 Ph: (208) 375-0500 |
Dr. James Hunter Schrader, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, St. Luke's Internal Medicine, Boise, ID 83712 Phone: 208-647-3159 | |
Dr. Wilbur Allen Rader, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 115 W Main St, Suite 101, Boise, ID 83702 Phone: 208-343-3652 Fax: 208-367-9188 | |
Aurelia Nelson, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1910 University Dr, Ms 1351, Boise, ID 83725 Phone: 208-426-1459 Fax: 208-426-3005 | |
J Thomas Ahlquist, MD General Practice Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Lindsey Wells, NP-C General Practice Medicare: Not Enrolled in Medicare Practice Location: 2537 W State St Ste 110, Boise, ID 83702 Phone: 208-495-6555 Fax: 208-369-9273 | |
Myung Ae Song, D.O. , M.B.A. General Practice Medicare: Not Enrolled in Medicare Practice Location: 8950 W Emerald St, Ste 168, Boise, ID 83704 Phone: 208-901-5144 |