| Shaun K Joshi, MD | |
|
1986 W Hayden Ave, Hayden, ID 83835-7412 | |
| (208) 762-7760 | |
| (208) 762-7740 |
| Full Name | Shaun K Joshi |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 34 Years |
| Location | 1986 W Hayden Ave, Hayden, 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 |
|---|---|---|---|
| 1073629150 | NPI | - | NPPES |
| 7144785 | Medicaid | WA | |
| 1370136 | Other | MEDICARE GROUP PTAN | |
| 8058994 | Medicaid | ID | |
| 11003291 | Other | MEDICARE PTAN | |
| 8080036 | Medicaid | ID | |
| 8239220 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | MD00037068 (Washington) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | M-8219 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dsi Hayden Dialysis | Hayden, ID | Dialysis facility |
| Liberty Dialysis - Sandpoint | Sandpoint, ID | Dialysis facility |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Idaho Nephrology Associates, Inc. | 2567519218 | 2 |
| North Idaho Nephrology Associates, Inc. | 2567519218 | 2 |
| Entity Name | North Idaho Nephrology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912181090 PECOS PAC ID: 2567519218 Enrollment ID: O20110524000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaun K Joshi, MD 1986 W Hayden Ave, Hayden, ID 83835-7412 Ph: (208) 762-7760 | Shaun K Joshi, MD 1986 W Hayden Ave, Hayden, ID 83835-7412 Ph: (208) 762-7760 |
Sherwin S. Foster, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1986 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-7760 Fax: 208-762-7740 |