| Kimberly R Tanabe, MD | |
|
3101 E State St, Suite 2120, Eagle, ID 83616-6232 | |
| (208) 473-3275 | |
| (208) 473-3276 |
| Full Name | Kimberly R Tanabe |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 3101 E State St, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194773598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M5831 (Idaho) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly R Tanabe, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 706-8000 | Kimberly R Tanabe, MD 3101 E State St, Suite 2120, Eagle, ID 83616-6232 Ph: (208) 473-3275 |
Joel C Swanson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 E Riverside Dr, Suite 224, Samg Ehp Family Medicine, Eagle, ID 83616 Phone: 208-302-6000 Fax: 208-302-6055 | |
Dr. Benjamin Ari Satterfield, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-322-1680 Fax: 208-322-1695 | |
Dr. Marion Lynn Luque, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1139 E. Winding Creek Drive, Eagle, ID 83616 Phone: 208-938-8887 Fax: 208-938-8897 | |
Dr. Robert John Haake, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 E Shore Dr, Suite 100, Eagle, ID 83616 Phone: 208-995-2802 Fax: 208-995-2804 | |
Dr. Stan A Eisele, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 E Riverside Dr Ste 224, Eagle, ID 83616 Phone: 208-302-6000 Fax: 208-302-6055 | |
Susanne L Stickler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Suite 2120, Eagle, ID 83616 Phone: 208-706-8000 |