| Travis Reed Moulton, DO | |
|
1906 Fairview Ave, Ste 230, Caldwell, ID 83605-5407 | |
| (208) 459-4667 | |
| (208) 442-6520 |
| Full Name | Travis Reed Moulton |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 1906 Fairview Ave, Caldwell, 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 |
|---|---|---|---|
| 1760744403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-0765 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Auburn Crest Hospice Treasure Valley, Llc | Boise, ID | Hospice |
| West Valley Medical Center | Caldwell, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Valley Medical Group Llc | 8729180310 | 12 |
| Entity Name | West Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871673798 PECOS PAC ID: 8729180310 Enrollment ID: O20070228000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Reed Moulton, DO Po Box 277976, Atlanta, GA 30384-7976 Ph: () - | Travis Reed Moulton, DO 1906 Fairview Ave, Ste 230, Caldwell, ID 83605-5407 Ph: (208) 459-4667 |
Stacy Jane Lamers, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217 | |
Zachary A Leckenby, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 | |
Megan A Schwehr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 808 Cleveland Blvd, Caldwell, ID 83605 Phone: 208-459-1025 Fax: 208-466-5359 | |
Miss J'cinda J'nae Bitters, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 E Logan St Ste 301, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-459-3372 | |
Zechariah Wilson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217 | |
Graceful Iris Morris, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 712 Aviation Way, Caldwell, ID 83605 Phone: 208-302-7500 Fax: 208-302-7555 | |
Jessica D Blancett, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 |