| Charles C Novak Md Chartered | |
|
413 N Allumbaugh St Ste 101 Boise ID 83704-9219 | |
| (208) 323-1125 | |
| Not Available |
| Full Name | Charles C Novak Md Chartered |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 413 N Allumbaugh St Ste 101, Boise, Idaho |
| Authorized Official Name and Position | Alison Dunbar (BILLING SUPERVISOR) |
| Authorized Official Contact | 2083231125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles C Novak Md Chartered 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 | Charles C Novak Md Chartered 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 |
| NPI Number | 1316245004 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 03/04/2011 |
| Medicare PECOS PAC ID | 5597948034 |
|---|---|
| Medicare Enrollment ID | O20110322000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316245004 | NPI | - | NPPES |
| 1770511743 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M4922 (Idaho) | Primary |
| Provider Name | Charles C Novak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770511743 PECOS PAC ID: 0042261174 Enrollment ID: I20050207000568 |
Boise Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7227 W Potomac Dr, Boise, ID 83704 Phone: 208-314-1770 | |
St. Alphonsus Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Allumbaugh St, Boise, ID 83704 Phone: 208-367-3069 Fax: 208-367-3002 | |
Living Well, Inc, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6003 W Overland Rd, Suite 101, Boise, ID 83709 Phone: 208-322-2412 Fax: 208-345-2077 | |
Continual Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 N 33rd St, Boise, ID 83703 Phone: 208-340-6270 | |
Arrowleaf Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 N Allumbaugh St Ste 101, Boise, ID 83704 Phone: 208-954-5594 Fax: 208-954-5598 | |
Sara Hill, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1414 W Franklin St, Boise, ID 83702 Phone: 208-336-4999 | |
Lea Bowman Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2714 N Tamarack Dr, Boise, ID 83703 Phone: 208-576-7411 |