| Michael T Daines, MD | |
|
1906 Fairview Ave Ste 400, Caldwell, ID 83605-5424 | |
| (208) 459-4511 | |
| (208) 459-6602 |
| Full Name | Michael T Daines |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 22 Years |
| Location | 1906 Fairview Ave Ste 400, Caldwell, 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 |
|---|---|---|---|
| 1598973992 | NPI | - | NPPES |
| P00803999 | Other | CO | RR MEDICARE |
| 67920276 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | R-7107 (Iowa) | Secondary |
| 207X00000X | Orthopaedic Surgery | 48110 (Colorado) | Secondary |
| 207X00000X | Orthopaedic Surgery | M-10703 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Treasure Valley Hospital | Boise, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| West Valley Medical Center | Caldwell, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopedic And Fracture Clinic Pa | 7810800398 | 6 |
| Entity Name | Orthopedic & Fracture Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184739351 PECOS PAC ID: 7810800398 Enrollment ID: O20031111000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Daines, MD 1906 Fairview Ave Ste 400, Caldwell, ID 83605-5424 Ph: (208) 459-4511 | Michael T Daines, MD 1906 Fairview Ave Ste 400, Caldwell, ID 83605-5424 Ph: (208) 459-4511 |
Robert G Hansen, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 | |
George Arthur Nicola, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 | |
Craig R Jamison, PAC Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-4511 | |
John Quentin Smith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 400, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 | |
Charles Phillip Schneider, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 |