Mrs Elaine M Davidson, MD | |
875 S Vanguard Way, Meridian, ID 83642-7552 | |
(208) 468-5910 | |
Not Available |
Full Name | Mrs Elaine M Davidson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 36 Years |
Location | 875 S Vanguard Way, Meridian, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093705022 | NPI | - | NPPES |
003656100 | Medicaid | ID | |
000010150633 | Other | ID | BLUE SHIELD |
74526 | Other | ID | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M5546 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Idaho Health Partners Llc | 5395063564 | 83 |
Entity Name | Southern Idaho Health Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952701401 PECOS PAC ID: 5395063564 Enrollment ID: O20150420000863 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elaine M Davidson, MD 215 E Hawaii Ave, Nampa, ID 83686-6011 Ph: (208) 463-3000 | Mrs Elaine M Davidson, MD 875 S Vanguard Way, Meridian, ID 83642-7552 Ph: (208) 468-5910 |
Christina Marie Freston, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1552 N Crestmont Dr Ste B, Meridian, ID 83642 Phone: 208-985-2260 | |
Dr. Warren Hunter Looney, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 260 S Ten Mile Rd, Meridian, ID 83642 Phone: 208-809-2872 | |
Mrs. Meghann Elaine Kalliokoski, NP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1588 W Cayuse Creek Dr Unit 100, Meridian, ID 83646 Phone: 208-377-5166 | |
Marisa A Battaglia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1623 Wells Ave, Meridian, ID 83642 Phone: 208-489-1450 | |
Catherine J Reynolds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala, Suite 150, Meridian, ID 83642 Phone: 208-345-3530 Fax: 208-381-5080 | |
Raymond Paul Hooft, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3041 E Copper Point Dr, Meridian, ID 83642 Phone: 208-514-4400 Fax: 208-514-4404 |