| Eric Thomas Elliott, MD | |
|
1055 N Curtis Rd, Boise, ID 83706-1309 | |
| (208) 322-1730 | |
| (208) 322-1731 |
| Full Name | Eric Thomas Elliott |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 24 Years |
| Location | 1055 N Curtis Rd, 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 |
|---|---|---|---|
| 1174655740 | NPI | - | NPPES |
| 808368700 | Medicaid | ID | |
| 1196079 | Other | ID | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M-10699 (Idaho) | Primary |
| 207P00000X | Emergency Medicine | 29026 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Home Care | Meridian, ID | Home health agency |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811357023 PECOS PAC ID: 6608056171 Enrollment ID: O20160803003292 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Thomas Elliott, MD 2963 E Copper Point Dr, Suite 150, Meridian, ID 83642-9055 Ph: (208) 322-1730 | Eric Thomas Elliott, MD 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 322-1730 |
Matthew Judd, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-322-1730 Fax: 208-322-1731 | |
Dr. Ann M Weiss, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6052 W State St, Boise, ID 83703 Phone: 208-344-7799 Fax: 208-344-7152 | |
Dr. Aaron L. Holsinger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13960 W Wainwright Dr, Boise, ID 83713 Phone: 208-947-5390 Fax: 208-947-3465 | |
Andrew Steven Coleman, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2235 Fax: 208-381-4556 | |
Lori J Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Fort St., # 111, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1319 | |
Elizabeth Peacock, MD, PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2235 | |
Dr. Rachael A Bodes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-8748 |