| Julie L Welty, MD | |
|
211 Forest St, Mccall, ID 83638 | |
| (208) 634-2225 | |
| (208) 634-7212 |
| Full Name | Julie L Welty |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 211 Forest St, Mccall, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487795605 | NPI | - | NPPES |
| B3382 | Other | ID | BC |
| 000010149281 | Other | ID | BS |
| 003994500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M7311 (Idaho) | Primary |
| Entity Name | St Lukes Clinic - Mccall Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881982510 PECOS PAC ID: 7618127994 Enrollment ID: O20121120000225 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie L Welty, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Julie L Welty, MD 211 Forest St, Mccall, ID 83638 Ph: (208) 634-2225 |
James W Dardis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Forest St., Mccall, ID 83638 Phone: 208-634-2225 Fax: 208-634-7212 | |
Caitlin J. Gustafson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Forest St, Mccall, ID 83638 Phone: 208-634-2225 Fax: 208-634-5547 | |
Taylor Leigh Simmons-richelieu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Forest St, Mccall, ID 83638 Phone: 208-634-2225 Fax: 208-634-7212 | |
Kaylie Sylvester, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Forest St, Mccall, ID 83638 Phone: 208-630-2470 | |
Sarah A. Curtin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Forest St, Mccall, ID 83638 Phone: 208-634-2225 | |
Scott S. Harris, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Forest St, Mccall, ID 83638 Phone: 208-634-2225 Fax: 208-634-7212 |