| Dr Ronald Eugene Carroll, MD | |
|
823 Center Ave, Payette, ID 83661-2535 | |
| (208) 642-3396 | |
| (208) 642-9060 |
| Full Name | Dr Ronald Eugene Carroll |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 48 Years |
| Location | 823 Center Ave, Payette, Idaho |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790821122 | NPI | - | NPPES |
| 000010005775 | Other | REGENCE BLUE SHIELD | |
| R108734 | Other | MEDICARE-NORIDIAN | |
| 003636500 | Medicaid | ID | |
| 73437 | Other | BLUE CROSS | |
| 820525763 | Other | COMMERCIAL | |
| 231902 | Medicaid | OR | |
| D80174720 | Other | MEDICARE- RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-4116 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Medical Center | Breckenridge, MN | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthcare With Heart Llc | 2062463979 | 6 |
| Healthcare With Heart Llc | 2062463979 | 6 |
| St Francis Medical Center | 8123937992 | 9 |
| Entity Name | Walter Knox Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419018 PECOS PAC ID: 7012907785 Enrollment ID: O20040514000512 |
| Entity Name | Healthcare With Heart Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053521344 PECOS PAC ID: 2062463979 Enrollment ID: O20050208001053 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald Eugene Carroll, MD 823 Center Ave, P.o. Box 175, Payette, ID 83661-2535 Ph: (208) 642-3396 | Dr Ronald Eugene Carroll, MD 823 Center Ave, Payette, ID 83661-2535 Ph: (208) 642-3396 |
Yvette Rene Sweet, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 | |
Dr. Bryon D Hemphill, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 | |
William Jackson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9279 | |
Joann E Buhr Cote, DNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 823 Center Ave, Payette, ID 83661 Phone: 208-642-3396 Fax: 208-642-9060 |