| Walter Bruce Cherny, MD | |
|
100 E Idaho St, Suite 202, Boise, ID 83712-6267 | |
| (208) 381-7360 | |
| (208) 381-7361 |
| Full Name | Walter Bruce Cherny |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 100 E 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 |
|---|---|---|---|
| 1275575839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | M8385 (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Bruce Cherny, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-7360 | Walter Bruce Cherny, MD 100 E Idaho St, Suite 202, Boise, ID 83712-6267 Ph: (208) 381-7360 |
Kenneth M Little, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, 10th Floor, Boise, ID 83712 Phone: 208-381-5500 Fax: 208-381-2555 | |
Dr. Nicholas T. Gamboa, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1072 N Liberty St Ste 200, Boise, ID 83704 Phone: 208-302-4100 | |
Bruce J Andersen, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty St, Suite 303, Boise, ID 83704 Phone: 208-367-4035 Fax: 208-367-7111 | |
Roy Tyler Frizzell, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Ste 307, Boise, ID 83702 Phone: 208-344-1000 Fax: 208-344-1331 | |
Michael V Hajjar, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6140 W Curtisian Ave Ste 400, Boise, ID 83704 Phone: 208-327-5600 Fax: 208-327-5602 | |
Michael L Henbest, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 6140 Curtisian Ave, Suite 400, Boise, ID 83704 Phone: 208-367-3500 Fax: 208-367-2968 | |
Dr. Donald John Blaskiewicz, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St Fl 10, Boise, ID 83712 Phone: 208-381-5500 |