| Dr Michael Matthew Green, DO | |
|
305 E Jefferson St, Boise, ID 83712-6231 | |
| (208) 381-5111 | |
| (208) 381-5112 |
| Full Name | Dr Michael Matthew Green |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine |
| Location | 305 E Jefferson St, 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 |
|---|---|---|---|
| 1063665719 | NPI | - | NPPES |
| Entity Name | University of Utah Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043614811 PECOS PAC ID: 2961726831 Enrollment ID: O20150123002141 |
| Entity Name | University of Utah Pediatric Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Matthew Green, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: Not Available | Dr Michael Matthew Green, DO 305 E Jefferson St, Boise, ID 83712-6231 Ph: (208) 381-5111 |
Monte H Moore, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 600 Robbins Rd, Suite #300, Boise, ID 83702 Phone: 208-489-4016 Fax: 208-489-4015 |
Amanda Eileen Keel, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1000 N Curtis Rd, Suite 202, Boise, ID 83706 Phone: 208-377-3435 Fax: 208-377-3147 |
Lynn F. Shenk, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 600 N Robbins Rd Ste 300, Boise, ID 83702 Phone: 208-706-0400 |
Edward A Anton, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 711 N Curtis Rd, Boise, ID 83706 Phone: 440-465-0568 |
Dr. Clinton Mallari, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 115 W Main St, Suite 102, Boise, ID 83702 Phone: 208-342-4700 Fax: 208-342-4710 |
Rebekah Elizabeth Guy, M.D., B.S. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 115 W Main St Ste 201, Boise, ID 83702 Phone: 208-342-2104 Fax: 205-549-7559 |
Dr. Michael R Mcmartin, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1000 N Curtis Rd, Ste 202, Boise, ID 83706 Phone: 208-377-3435 Fax: 208-377-3147 |