| Mr Dustan Thomas Hughes, MD | |
|
1611 B 12th Ave Rd, Lifestages Obgyn, Nampa, ID 83686 | |
| (208) 442-8035 | |
| (208) 442-8038 |
| Full Name | Mr Dustan Thomas Hughes |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1611 B 12th Ave Rd, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770513228 | NPI | - | NPPES |
| 806575300 | Medicaid | ID | |
| 000010150453 | Other | ID | BLUE SHIELD |
| B4091 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | M8105 (Idaho) | Primary |
| Entity Name | Lifestages Ob-gyn Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871618892 PECOS PAC ID: 0648226266 Enrollment ID: O20050525000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dustan Thomas Hughes, MD 1611 B 12th Ave Rd, Nampa, ID 83686 Ph: (208) 442-8035 | Mr Dustan Thomas Hughes, MD 1611 B 12th Ave Rd, Lifestages Obgyn, Nampa, ID 83686 Ph: (208) 442-8035 |
Dr. Linda Kay Walker, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4424 E Flamingo Ave, Ste 200, Nampa, ID 83687 Phone: 208-302-1400 Fax: 208-302-1455 | |
Dr. Robert W Chalmers, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-381-2267 Fax: 208-381-4314 | |
Dr. Juliette Evelyn Hughes, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1611 B 12th Ave Rd, Nampa, ID 83686 Phone: 208-442-8035 Fax: 208-442-8038 | |
Dr. John Whitney Mercer Jr., MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4424 E Flamingo Ave Ste 200, Nampa, ID 83687 Phone: 208-302-1400 Fax: 208-302-1455 | |
Dr. Megan E Kasper, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9850 St Lukes Dr, Nampa, ID 83687 Phone: 208-463-3000 Fax: 208-463-3047 | |
Philip Eric Dayley, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9850 W St Lukes Dr Ste 320a, Nampa, ID 83687 Phone: 208-706-3220 Fax: 208-706-3221 | |
Dr. Justin Bruner, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-381-2267 |