| Karl P Undesser, MD | |
|
1906 Fairview Ave Ste 230, Caldwell, ID 83605-5432 | |
| (208) 795-5073 | |
| (208) 402-3181 |
| Full Name | Karl P Undesser |
|---|---|
| Gender | Male |
| Speciality | Cardiac Electrophysiology |
| Experience | 36 Years |
| Location | 1906 Fairview Ave Ste 230, Caldwell, 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 |
|---|---|---|---|
| 1013961242 | NPI | - | NPPES |
| 1013961242 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | M6986 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Valley Medical Center | Caldwell, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Weiser Memorial Hospital | Weiser, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Valley Medical Group Specialty Services Llc | 5799901815 | 6 |
| Entity Name | North Canyon Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
| 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 | West Valley Medical Group Specialty Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245659093 PECOS PAC ID: 5799901815 Enrollment ID: O20140725002340 |
| Mailing Address | Practice Location Address |
|---|---|
| Karl P Undesser, MD Po Box 742941, Atlanta, GA 30374-2941 Ph: () - | Karl P Undesser, MD 1906 Fairview Ave Ste 230, Caldwell, ID 83605-5432 Ph: (208) 795-5073 |
Steven J Koga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 230, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-459-3372 | |
Dr. Lyndon C Box, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 230, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-442-6520 | |
Nathanael Hogg, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 808-294-7862 | |
Sherri L Brown, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 E Elm St, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-453-3200 | |
James C Field, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St, Ste 350, Caldwell, ID 83605 Phone: 208-454-6363 Fax: 208-454-3512 | |
Dr. Christopher Ryan Keller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4620 Enterprise Way Ste 101, Caldwell, ID 83605 Phone: 208-846-8335 Fax: 208-846-8336 |