| Saad Hijazi, MD | |
|
120 Desert Sage Way, Mountain Home, ID 83647-1038 | |
| (208) 587-3988 | |
| (208) 587-3324 |
| Full Name | Saad Hijazi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 41 Years |
| Location | 120 Desert Sage Way, Mountain Home, 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 |
|---|---|---|---|
| 1942410212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A053167 (California) | Secondary |
| 207R00000X | Internal Medicine | M-10488 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Horizon Home Health | Meridian, ID | Home health agency |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glenns Ferry Health Center Inc | 5496656894 | 17 |
| Entity Name | Glenns Ferry Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376673137 PECOS PAC ID: 5496656894 Enrollment ID: O20040119000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Saad Hijazi, MD 120 Desert Sage Way, Mountain Home, ID 83647-1038 Ph: (208) 587-3988 | Saad Hijazi, MD 120 Desert Sage Way, Mountain Home, ID 83647-1038 Ph: (208) 587-3988 |
Krzysztof Hendryk Ziola, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2280 American Legion Blvd., Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 | |
Michael Peter Koelsch, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 805 North 6th East, Mountain Home, ID 83647 Phone: 208-587-5880 Fax: 208-587-7905 |