| Michael Massaro, DO | |
|
801 Pole Line Rd W, Twin Falls, ID 83301-5799 | |
| (208) 814-4100 | |
| (208) 814-4908 |
| Full Name | Michael Massaro |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 5 Years |
| Location | 801 Pole Line Rd W, Twin Falls, 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 |
|---|---|---|---|
| 1043897481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7971137 (Idaho) | Primary |
| 207R00000X | Internal Medicine | 02007224A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1159 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Massaro, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Michael Massaro, DO 801 Pole Line Rd W, Twin Falls, ID 83301-5799 Ph: (208) 814-4100 |
Joseph Murdock Strobel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 | |
Dr. William Stephen Lefler Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 746 N College Rd Ste A, Twin Falls, ID 83301 Phone: 208-814-7230 | |
Nagraj Narasimhan, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 | |
Dr. Timothy Adam Enders, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 | |
Dr. Joseph Ezer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W Ste 315, Twin Falls, ID 83301 Phone: 208-814-8750 | |
John A Baker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 302, Twin Falls, ID 83301 Phone: 208-814-8600 Fax: 208-814-8942 |