| Dr Spencer Raye Paulson, MD | |
|
6259 W Emerald St, Boise, ID 83704-8731 | |
| (208) 489-1900 | |
| Not Available |
| Full Name | Dr Spencer Raye Paulson |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 14 Years |
| Location | 6259 W Emerald St, Boise, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215290275 | NPI | - | NPPES |
| R73285 | Other | AZ | ARIZONA TRAINING LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | R73285 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Pathology Services Inc | 2567406689 | 5 |
| Digestive Health Clinic Llc | 7315948874 | 26 |
| Entity Name | Diagnostic Pathology Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720014087 PECOS PAC ID: 2567406689 Enrollment ID: O20050620000122 |
| Entity Name | Digestive Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750498333 PECOS PAC ID: 7315948874 Enrollment ID: O20070125000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Spencer Raye Paulson, MD 3614 E Newby St, Nampa, ID 83687-9201 Ph: (208) 205-1000 | Dr Spencer Raye Paulson, MD 6259 W Emerald St, Boise, ID 83704-8731 Ph: (208) 489-1900 |
Dr. Bryce J. Parkinson, DO, MBA Pathology Medicare: Accepting Medicare Assignments Practice Location: 999 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2153 | |
Jack C Chaffin Jr., MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2152 | |
Mark E Kieckbusch, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2367 Fax: 208-381-4762 | |
Nancy C Kois, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2152 | |
Daniel J Walsh, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2367 | |
Dr. Karen Ann Johnson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2378 |