| Krzysztof Hendryk Ziola, MD | |
|
2280 American Legion Blvd., Mountain Home, ID 83647 | |
| (208) 587-3988 | |
| (208) 587-3324 |
| Full Name | Krzysztof Hendryk Ziola |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2280 American Legion Blvd., Mountain Home, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073692166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A62465 (California) | Secondary |
| 207R00000X | Internal Medicine | M-10666 (Idaho) | Primary |
| Entity Name | Glenns Ferry Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376673137 PECOS PAC ID: 5496656894 Enrollment ID: O20040119000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Krzysztof Hendryk Ziola, MD 2280 American Legion Blvd., Mountain Home, ID 83647 Ph: (208) 587-3988 | Krzysztof Hendryk Ziola, MD 2280 American Legion Blvd., Mountain Home, ID 83647 Ph: (208) 587-3988 |
Saad Hijazi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 | |
Michael Peter Koelsch, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 805 North 6th East, Mountain Home, ID 83647 Phone: 208-587-5880 Fax: 208-587-7905 |