| Dr Timothy Eugene Doerr, MD | |
|
8854 W Emerald St, Suite 140, Boise, ID 83704-4844 | |
| (208) 321-4790 | |
| (208) 321-4836 |
| Full Name | Dr Timothy Eugene Doerr |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 8854 W Emerald 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 |
|---|---|---|---|
| 1083663868 | NPI | - | NPPES |
| P00171922 | Other | ID | TRAVELERS MEDICARE |
| 000010004063 | Other | ID | REGENCE BLUE SHIELD |
| 804191700 | Medicaid | ID | |
| 72595 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | M7259 (Idaho) | Primary |
| Entity Name | Capital Surgical Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902854433 PECOS PAC ID: 9133178767 Enrollment ID: O20050120000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Eugene Doerr, MD 8854 W Emerald St, Ste 140, Boise, ID 83704-4845 Ph: (208) 321-4790 | Dr Timothy Eugene Doerr, MD 8854 W Emerald St, Suite 140, Boise, ID 83704-4844 Ph: (208) 321-4790 |
Tracye Jean-marie Lawyer, MD, PHD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6165 W Emerald St, Boise, ID 83704 Phone: 208-302-3900 Fax: 208-302-3955 | |
Dustin I Judd, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Robbins Rd, Suite 100, Boise, ID 83702 Phone: 208-383-0201 | |
Dr. Michael Glover, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 500 W Fort St, Mail Code #112, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1082 | |
Jeffrey D Smith, PA C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7979 W Rifleman St, Boise, ID 83704 Phone: 208-989-0598 | |
Howard A King, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 N Robbins Rd, Ste 100, Boise, ID 83702 Phone: 208-383-0201 Fax: 208-489-4300 | |
Dr. Jeffrey Glenn Hessing, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8854 W Emerald St, Suite 140, Boise, ID 83704 Phone: 208-327-4790 Fax: 208-367-4888 | |
Dr. Kirk J Lewis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1188 University Dr, Boise, ID 83706 Phone: 208-336-8250 Fax: 208-345-9514 |