| Mark J Dell'aglio, MD | |
|
2235 E Gala St, Meridian, ID 83642-8026 | |
| (208) 887-3724 | |
| (208) 887-1682 |
| Full Name | Mark J Dell'aglio |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 40 Years |
| Location | 2235 E Gala St, Meridian, 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 |
|---|---|---|---|
| 1477656460 | NPI | - | NPPES |
| 1477656460 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | M-13433 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Gastroenterology Associates Llp | 6002708773 | 28 |
| Entity Name | Idaho Gastroenterology Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265427256 PECOS PAC ID: 6002708773 Enrollment ID: O20040326001143 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Dell'aglio, MD 425 W Bannock St, Boise, ID 83702-6035 Ph: (208) 343-6458 | Mark J Dell'aglio, MD 2235 E Gala St, Meridian, ID 83642-8026 Ph: (208) 887-3724 |
Mr. Eric Ld Scholten, M.D. Gastroenterology 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. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1759 S Millenium Way, Meridian, ID 83642 Phone: 208-387-6546 Fax: 888-334-8747 | |
Dr. Aaron Dunham, MD Gastroenterology 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 Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 | |
John T Witte, M.D. Gastroenterology 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 Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 3525 E Louise Dr Ste 100, Meridian, ID 83642 Phone: 208-999-0356 | |
John B Dever, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 310, Meridian, ID 83642 Phone: 208-463-3000 |