| Gregory P Schultz, MD | |
|
2315 8th St, Lewiston, ID 83501-7301 | |
| (208) 746-1383 | |
| (208) 746-6348 |
| Full Name | Gregory P Schultz |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2315 8th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013090828 | NPI | - | NPPES |
| 1013090828 | Other | ID | REGENCE BLUE CROSS |
| 1127194 | Other | ID | DMERC |
| 1000325 | Medicaid | WA | |
| 841377860 | Other | ID | MISCELLANEOUS INSURANCE |
| 0210278 | Other | WA | LABOR & INDUSTRIES |
| 1013090828 | Medicaid | ID | |
| DF391 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M6210 (Idaho) | Primary |
| 208000000X | Pediatrics | MD00040525 (Washington) | Secondary |
| Entity Name | Catalyst Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001188 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory P Schultz, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 | Gregory P Schultz, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 |
Natale Carasali, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Dr. Darby S Lynch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Theodore K Krisher, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Robert Todd Parkey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Dr. Craig N. Ambroson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Dr. Tysen L Weber, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 |