| James Alden Crouch, MD | |
|
5610 W Gage St Ste A, Boise, ID 83706-1332 | |
| (208) 501-8955 | |
| (208) 370-3382 |
| Full Name | James Alden Crouch |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 16 Years |
| Location | 5610 W Gage St Ste A, 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 |
|---|---|---|---|
| 1720303753 | NPI | - | NPPES |
| 1720303753 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | M-14613 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Treasure Valley Dialysis Center | Meridian, ID | Dialysis facility |
| Nampa Dialysis Center | Nampa, ID | Dialysis facility |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| West Valley Medical Center | Caldwell, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Clair Specialty Physicians Pc | 6204733256 | 34 |
| St Clair Specialty Physicians Pc | 6204733256 | 34 |
| Entity Name | St Clair Specialty Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154361616 PECOS PAC ID: 6204733256 Enrollment ID: O20110511000203 |
| Mailing Address | Practice Location Address |
|---|---|
| James Alden Crouch, MD 45650 Schoenherr Rd, Ste B, Shelby Township, MI 48315-6033 Ph: (586) 247-4300 | James Alden Crouch, MD 5610 W Gage St Ste A, Boise, ID 83706-1332 Ph: (208) 501-8955 |
Dr. Jennifer A Hofstra, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 757-446-8920 Fax: 757-446-5242 | |
Dr. James Robert Polk, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3104 | |
Dr. Michael Frederic Krug, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 Fax: 208-381-1873 | |
Derrel V Walker, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951 | |
Dr. Janat E. O'donnell, MD Nephrology Medicare: Medicare Enrolled Practice Location: 500 W. Fort St., # 111, Boise, ID 83702 Phone: 208-422-1325 Fax: 208-422-1319 | |
Carl L Durning, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6094 W Emerald St, Boise, ID 83704 Phone: 208-367-6575 Fax: 208-367-6597 | |
Dr. Christopher J Goulet, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 |