| Matthew Wilson, MD | |
|
300 S 23rd St, Boise, ID 83702-9100 | |
| (208) 344-3512 | |
| (208) 466-5359 |
| Full Name | Matthew Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 300 S 23rd St, 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 |
|---|---|---|---|
| 1063807097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-14743 (Idaho) | Primary |
| Entity Name | El Pueblo Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144302415 PECOS PAC ID: 9739170697 Enrollment ID: O20040519001418 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Wilson, MD Po Box 9, Nampa, ID 83653-0009 Ph: (208) 467-4431 | Matthew Wilson, MD 300 S 23rd St, Boise, ID 83702-9100 Ph: (208) 344-3512 |
Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480 | |
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 | |
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 | |
Sarah A Hershman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Summer E Szumski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Thornton E Bryan Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-381-6500 Fax: 208-381-6505 | |
Dr. Julia Marie Jensen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 W Main St Ste 100, Boise, ID 83702 Phone: 208-342-7400 Fax: 208-342-1979 |