| Oleg Sergeevich Kouskov, MD | |
|
2347 E Gala St, Meridian, ID 83642-4881 | |
| (208) 323-3767 | |
| Not Available |
| Full Name | Oleg Sergeevich Kouskov |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 28 Years |
| Location | 2347 E Gala St, Meridian, 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 |
|---|---|---|---|
| 1053521203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | M11223 (Idaho) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | M11223 (Idaho) | 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 |
| St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| 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 |
|---|---|
| Oleg Sergeevich Kouskov, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Oleg Sergeevich Kouskov, MD 2347 E Gala St, Meridian, ID 83642-4881 Ph: (208) 323-3767 |
Mr. Eric Ld Scholten, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 Fax: 208-323-3768 | |
Lynn Ge-zerbe, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1759 S Millenium Way, Meridian, ID 83642 Phone: 208-387-6546 Fax: 888-334-8747 | |
Dr. Aaron Dunham, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 Phone: 208-302-3300 Fax: 208-302-3355 | |
John T Witte, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2235 E Gala St, Meridian, ID 83642 Phone: 208-887-3724 Fax: 208-887-3724 | |
Liang Wu, MD Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 3525 E Louise Dr Ste 100, Meridian, ID 83642 Phone: 208-999-0356 | |
John B Dever, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 310, Meridian, ID 83642 Phone: 208-463-3000 |