| Kristen Fiorentino, MD | |
|
520 S Eagle Rd Ste 2104, Meridian, ID 83642-6363 | |
| (208) 706-0201 | |
| (208) 706-0202 |
| Full Name | Kristen Fiorentino |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 520 S Eagle Rd Ste 2104, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760434302 | NPI | - | NPPES |
| 806862700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M8929 (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 |
| Entity Name | Vibra Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20141105002107 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Fiorentino, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-8752 | Kristen Fiorentino, MD 520 S Eagle Rd Ste 2104, Meridian, ID 83642-6363 Ph: (208) 706-0201 |
Mr. Eric Ld Scholten, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 Fax: 208-323-3768 | |
Lynn Ge-zerbe, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1759 S Millenium Way, Meridian, ID 83642 Phone: 208-387-6546 Fax: 888-334-8747 | |
Dr. Tomoki Sempokuya, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3277 E Louise Dr, Meridian, ID 83642 Phone: 208-706-5127 Fax: 208-706-5854 | |
Dr. Aaron Dunham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 Phone: 208-302-3300 Fax: 208-302-3355 | |
Oleg Sergeevich Kouskov, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 | |
John T Witte, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2235 E Gala St, Meridian, ID 83642 Phone: 208-887-3724 Fax: 208-887-3724 | |
Liang Wu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3525 E Louise Dr Ste 100, Meridian, ID 83642 Phone: 208-999-0356 |