| Wesley David Pidcock, DO | |
|
4400 E Flamingo Ave Ste 200, Nampa, ID 83687 | |
| (208) 302-2100 | |
| (208) 302-2125 |
| Full Name | Wesley David Pidcock |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 12 Years |
| Location | 4400 E Flamingo Ave Ste 200, 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 |
|---|---|---|---|
| 1013335157 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Enhabit Home Health & Hospice | Boise, ID | Home health agency |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Saint Alphonsus Medical Center Ontario | Ontario, OR | Hospital |
| Saint Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 672 |
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 672 |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861676298 PECOS PAC ID: 3476462359 Enrollment ID: O20130801000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley David Pidcock, DO 3340 E Goldstone Dr, Meridian, ID 83642 Ph: (208) 302-2100 | Wesley David Pidcock, DO 4400 E Flamingo Ave Ste 200, Nampa, ID 83687 Ph: (208) 302-2100 |
Kenneth Wilhelm Jr., Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4400 E Flamingo Ave, Nampa, ID 83687 Phone: 208-288-4970 Fax: 208-288-4990 |
Michael M Dee, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3234 Fax: 208-463-3044 |
Justin Tomal, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Garrity Blvd, Nampa, ID 83687 Phone: 208-343-6458 |
Ryan J. Williams, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 900 N Happy Valley Rd, Nampa, ID 83687 Phone: 208-401-9639 |
Nicholas W. Hodgman, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 Phone: 208-302-0200 Fax: 208-302-0255 |
Raquel Croitoru, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 222 W Iowa Ave Ste A, Nampa, ID 83686 Phone: 208-467-3432 Fax: 208-467-4147 |
James R Dzur, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 217 W Georgia Ave, Suite 115, Nampa, ID 83686 Phone: 208-463-3000 Fax: 208-463-3034 |