Stephanie Kathryn Potter, MD | |
302 W Idaho St, Boise, ID 83702-6039 | |
(208) 369-4590 | |
(208) 906-2346 |
Full Name | Stephanie Kathryn Potter |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 302 W Idaho St, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609892413 | NPI | - | NPPES |
1196215 | Other | ID | MEDICARE PTAN |
1609892413 | Medicaid | ID | |
P01009617 | Other | ID | MEDICARE RAILROAD |
Entity Name | Sound Physicians Of Idaho |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730407461 PECOS PAC ID: 4688705346 Enrollment ID: O20100624000921 |
Entity Name | Boise Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356883326 PECOS PAC ID: 9537441241 Enrollment ID: O20170112001761 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Kathryn Potter, MD 200 Mullins Dr, Lebanon, OR 97355-3983 Ph: (541) 259-0200 | Stephanie Kathryn Potter, MD 302 W Idaho St, Boise, ID 83702-6039 Ph: (208) 369-4590 |
Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480 | |
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 | |
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 | |
Sarah A Hershman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Summer E Szumski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Thornton E Bryan Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-381-6500 Fax: 208-381-6505 | |
Irvin E Sackman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 E Boise Ave, Boise, ID 83706 Phone: 208-345-4066 Fax: 208-345-4196 |