| Stuart Black, MD | |
|
223 16th Ave N, Nampa, ID 83687-4058 | |
| (208) 466-7869 | |
| (208) 466-5359 |
| Full Name | Stuart Black |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 21 Years |
| Location | 223 16th Ave N, 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 |
|---|---|---|---|
| 1053351361 | NPI | - | NPPES |
| 11000133 | Other | ID | MEDICARE PTAN |
| 11000131 | Other | ID | MEDICARE PTAN |
| P00777176 | Other | ID | MEDICARE RAILROAD PTAN |
| 1053351361 | Medicaid | ID | |
| 11000132 | Other | ID | MEDICARE PTAN |
| M9850 | Other | ID | IDAHO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01060962A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | M-9850 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Clinics Inc | 4082527353 | 69 |
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 541 |
| Community Health Clinics Inc | 4082527353 | 69 |
| Sound Physicians Of Idaho | 4688705346 | 62 |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart Black, MD Po Box 9, Nampa, ID 83653-0009 Ph: (208) 466-7869 | Stuart Black, MD 223 16th Ave N, Nampa, ID 83687-4058 Ph: (208) 466-7869 |
Dr. Julia Marie Jensen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Jason Johnston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1820 Caldwell Blvd, Nampa, ID 83651 Phone: 208-466-6567 Fax: 208-466-7922 | |
Heidi Elizabeth Shields, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 N Sister Catherine Way, Nampa, ID 83687 Phone: 208-302-7000 Fax: 208-302-7055 | |
Robert B Buxton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 12th Ave Rd, Ste 200, Nampa, ID 83886 Phone: 208-302-6800 Fax: 208-302-6855 | |
Courtney Scott Isaacs, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 12th Ave Rd Ste 200, Nampa, ID 83686 Phone: 208-302-6800 Fax: 208-302-6855 | |
Jesse Tyler Mcchane, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 1st St S, Nampa, ID 83651 Phone: 208-466-7869 Fax: 208-466-5359 |