| Raphael Shakur Komakech, MBBCHB | |
|
4300 E Flamingo Ave, Nampa, ID 83687-3138 | |
| (208) 463-5000 | |
| Not Available |
| Full Name | Raphael Shakur Komakech |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 1 Years |
| Location | 4300 E Flamingo Ave, Nampa, 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 |
|---|---|---|---|
| 1770223562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7171372 (Idaho) | Primary |
| 207R00000X | Internal Medicine | MRM-2124 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 672 |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Raphael Shakur Komakech, MBBCHB Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170 | Raphael Shakur Komakech, MBBCHB 4300 E Flamingo Ave, Nampa, ID 83687-3138 Ph: (208) 463-5000 |
Wesley David Pidcock, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4400 E Flamingo Ave Ste 200, Nampa, ID 83687 Phone: 208-302-2100 Fax: 208-302-2125 |
Kenneth Wilhelm Jr., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4400 E Flamingo Ave, Nampa, ID 83687 Phone: 208-288-4970 Fax: 208-288-4990 |
Michael M Dee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3234 Fax: 208-463-3044 |
Justin Tomal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Garrity Blvd, Nampa, ID 83687 Phone: 208-343-6458 |
Ryan J. Williams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N Happy Valley Rd, Nampa, ID 83687 Phone: 208-401-9639 |
Nicholas W. Hodgman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 Phone: 208-302-0200 Fax: 208-302-0255 |
Raquel Croitoru, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 222 W Iowa Ave Ste A, Nampa, ID 83686 Phone: 208-467-3432 Fax: 208-467-4147 |