| Matthew Kai Elliott, DO | |
|
645 E 5th St, Weiser, ID 83672-2202 | |
| (208) 549-3152 | |
| (208) 441-0368 |
| Full Name | Matthew Kai Elliott |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 645 E 5th St, Weiser, 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 |
|---|---|---|---|
| 1902046162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | OP60455629 (Washington) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Enhabit Home Health Of Western Idaho | Fruitland, ID | Home health agency |
| Horizon Home Health West | Caldwell, ID | Home health agency |
| Enhabit Home Health & Hospice | Boise, ID | Home health agency |
| Weiser Memorial Hospital | Weiser, ID | Hospital |
| Saint Alphonsus Medical Center Ontario | Ontario, OR | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Pioneer Nursing Home | Vale, OR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Weiser Valley Hospital District | 5294704276 | 60 |
| Entity Name | Weiser Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255364030 PECOS PAC ID: 5294704276 Enrollment ID: O20050124000126 |
| Entity Name | Weiser Valley Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1881641629 PECOS PAC ID: 5294704276 Enrollment ID: O20061104000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Kai Elliott, DO 840 E Hill Ave, Moses Lake, WA 98837-2238 Ph: (509) 663-8711 | Matthew Kai Elliott, DO 645 E 5th St, Weiser, ID 83672-2202 Ph: (208) 549-3152 |