| Eric A Simmons, DO | |
|
335 Allumbaugh St, Boise, ID 83704-9208 | |
| (208) 376-1611 | |
| (208) 658-1753 |
| Full Name | Eric A Simmons |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 335 Allumbaugh 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 |
|---|---|---|---|
| 1023132420 | NPI | - | NPPES |
| 000010146503 | Other | ID | BLUE SHIELD INDIVIDUAL |
| 806503100 | Medicaid | ID | |
| S4802 | Other | ID | BLUE CROSS INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0-300 (Idaho) | Primary |
| Entity Name | Sea Mar Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric A Simmons, DO Po Box 4656, Boise, ID 83711-4656 Ph: (208) 376-1611 | Eric A Simmons, DO 335 Allumbaugh St, Boise, ID 83704-9208 Ph: (208) 376-1611 |
Dr. Michael E. Estess, M. D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1471 Shoreline Dr, Suite 119, Boise, ID 83702 Phone: 208-345-2630 Fax: 208-345-6504 | |
John Carr, PMHNP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1000 N Curtis Rd Ste 202, Boise, ID 83706 Phone: 208-283-7314 | |
Dr. Gary Falk, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise Vamc, Boise, ID 83702 Phone: 208-422-1108 | |
Karen Porth, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty Street, Ste 303, Boise, ID 83704 Phone: 208-367-2800 Fax: 208-367-7111 | |
Ramon R Quijano, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 444 W Fort St., Fl 2, Boise, ID 83702 Phone: 208-422-1018 | |
Xavier Al-mateen, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6348 W Emerald St, Boise, ID 83704 Phone: 208-302-0900 Fax: 208-302-0955 |