| Michael M Dee, MD | |
|
215 E Hawaii Ave, Nampa, ID 83686-6011 | |
| (208) 463-3234 | |
| (208) 463-3044 |
| Full Name | Michael M Dee |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 215 E Hawaii Ave, Nampa, 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 |
|---|---|---|---|
| 1053302182 | NPI | - | NPPES |
| 110142007 | Other | ID | RAILROAD MEDICARE |
| 804107900 | Medicaid | ID | |
| 70250 | Other | ID | BLUE CROSS |
| 806356100 | Other | ID | HEALTHY CONNECTIONS |
| 000010002461 | Other | ID | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M7025 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Keystone Hospice | Eagle, ID | Hospice |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| St Luke's Mccall | Mccall, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Momentum Medical Group Of Idaho Llc | 2668824608 | 3 |
| Entity Name | Momentum Medical Group Of Idaho Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417737594 PECOS PAC ID: 2668824608 Enrollment ID: O20240116001570 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael M Dee, MD 215 E Hawaii Ave, Nampa, ID 83686-6011 Ph: (208) 463-3000 | Michael M Dee, MD 215 E Hawaii Ave, Nampa, ID 83686-6011 Ph: (208) 463-3234 |
Wesley David Pidcock, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4400 E Flamingo Ave Ste 200, Nampa, ID 83687 Phone: 208-302-2100 Fax: 208-302-2125 | |
Kenneth Wilhelm Jr., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4400 E Flamingo Ave, Nampa, ID 83687 Phone: 208-288-4970 Fax: 208-288-4990 | |
Justin Tomal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Garrity Blvd, Nampa, ID 83687 Phone: 208-343-6458 | |
Braden Lawrence, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 S Middleton Rd, Nampa, ID 83651 Phone: 208-381-4100 | |
Ryan J. Williams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N Happy Valley Rd, Nampa, ID 83687 Phone: 208-401-9639 | |
Nicholas W. Hodgman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 Phone: 208-302-0200 Fax: 208-302-0255 |