| Marc Bostick Md Chartered | |
|
413 N Allumbaugh St Ste 101 Boise ID 83704-9219 | |
| (208) 323-1125 | |
| (208) 323-9604 |
| Full Name | Marc Bostick Md Chartered |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 413 N Allumbaugh St, Boise, Idaho |
| Authorized Official Name and Position | Cheri Peterson (CREDENTIALER) |
| Authorized Official Contact | 2089545594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Bostick Md Chartered 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 | Marc Bostick Md Chartered 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 |
| NPI Number | 1508034802 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Medicare PECOS PAC ID | 2769433341 |
|---|---|
| Medicare Enrollment ID | O20050201001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508034802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M7712 (Idaho) | Primary |
| Provider Name | Marc W Bostick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073545703 PECOS PAC ID: 4880645456 Enrollment ID: I20050201000929 |
Boise Behavioral Medicine Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7227 W Potomac Dr, Boise, ID 83704 Phone: 208-314-1770 | |
Saint Alphonsus Regional Medical Center Inc 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: 950 W Bannock St # Ss, Boise, ID 83702 Phone: 208-602-7007 | |
Cda Solution Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10080 W Smoke Ranch Dr, Boise, ID 83709 Phone: 208-703-6004 | |
Commonplace Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 W Bannock St, Boise, ID 83702 Phone: 208-906-5878 | |
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 |