| Mark E Hollingshead, MD | |
|
360 E Mallard Dr, Ste 110, Boise, ID 83706-3945 | |
| (208) 336-8700 | |
| (208) 426-0902 |
| Full Name | Mark E Hollingshead |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 360 E Mallard Dr, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689670911 | NPI | - | NPPES |
| 0030470 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | M6436 (Idaho) | Primary |
| Entity Name | Hollingshead Eye Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871643585 PECOS PAC ID: 9830133214 Enrollment ID: O20050616000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Hollingshead, MD 360 E Mallard Dr, Ste 110, Boise, ID 83706-3945 Ph: (208) 336-8700 | Mark E Hollingshead, MD 360 E Mallard Dr, Ste 110, Boise, ID 83706-3945 Ph: (208) 336-8700 |
Dr. Mark J Boerner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
James R Swartley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Suite 215, Boise, ID 83702 Phone: 208-342-2706 | |
Landon Kelly Grange, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-773-3937 Fax: 208-377-3937 | |
Ms. Denise Elizabeth Capps, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 | |
Wyatt Messenger, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 E Mallard Dr Ste 110, Boise, ID 83706 Phone: 206-336-8700 | |
Dr. Chad Harman Jackson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
Matthew D Neale, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8955 W Hackamore Dr, Boise, ID 83709 Phone: 208-344-7944 Fax: 208-639-9360 |