| Dr Nicholas Garrett, DO | |
|
700 S Main St, Moscow, ID 83843 | |
| (208) 882-4511 | |
| (208) 883-6580 |
| Full Name | Dr Nicholas Garrett |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 700 S Main St, Moscow, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841673183 | NPI | - | NPPES |
| 1841673183 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | O-1226 (Idaho) | Primary |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
| Entity Name | Hospitalist Medicine Physicians Of Idaho- Nampa Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558995316 PECOS PAC ID: 2365871688 Enrollment ID: O20200407001850 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas Garrett, DO Po Box 8007, Moscow, ID 83843-0507 Ph: (208) 883-2224 | Dr Nicholas Garrett, DO 700 S Main St, Moscow, ID 83843 Ph: (208) 882-4511 |
Lauren Brogis, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Dr. Debra K Mckinnon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |
Dr. James M Clark, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Dr. Kurt R Martyn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |
Victoria Bernard, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 S Washington St, Moscow, ID 83843 Phone: 209-892-1346 | |
William E Caldwell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 623 S Main St, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 |