| Dr Michael Stuart Blue, DO | |
|
2315 8th St, Lewiston, ID 83501-7301 | |
| (208) 746-1383 | |
| (208) 746-6348 |
| Full Name | Dr Michael Stuart Blue |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2315 8th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558309393 | NPI | - | NPPES |
| 1558309393 | Medicaid | WA | |
| 1558309393 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42482 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | O-1138 (Idaho) | Primary |
| 207Q00000X | Family Medicine | OP60271117 (Washington) | Secondary |
| Entity Name | Public Hospital Dist No 1 Skagit |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Stuart Blue, DO 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 | Dr Michael Stuart Blue, DO 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 |
Dr. Christina R Bjornstad, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 6th Ave, Lewiston, ID 83501 Phone: 208-743-8226 Fax: 208-746-2069 | |
Larry Dean Harries, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 307 St Johns Way, Ste 4, Lewiston, ID 83501 Phone: 208-743-8585 Fax: 208-743-0118 | |
Dr. Christine C Schaller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-983-5120 Fax: 208-983-5404 | |
Dr. Donald J Greggain, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St Ste 3c, Lewiston, ID 83501 Phone: 208-750-3840 Fax: 208-750-3839 | |
Dr. Garrett Alan Mockler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2841 Juniper Dr, Lewiston, ID 83501 Phone: 208-848-9001 Fax: 208-848-9002 | |
Glenn E Jefferson Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Cheryl A Mallory, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 |