| P Roman Burk, DPM | |
|
1818 S 10th Ave, Suite 250, Caldwell, ID 83605-4803 | |
| (208) 459-0891 | |
| (208) 459-8628 |
| Full Name | P Roman Burk |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 21 Years |
| Location | 1818 S 10th 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 |
|---|---|---|---|
| 1306064258 | NPI | - | NPPES |
| 000010167550 | Other | ID | REGENCE BLUE SHIELD |
| P2447 | Other | ID | BLUE CROSS |
| 8080019 | Medicaid | ID | |
| 6701670001 | Other | ID | MEDICARE DME PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 41000197 (Indiana) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | P-197 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| P. Roman Burk Dpm Pc | 9335308717 | 3 |
| Provider Name | P. Roman Burk Dpm Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649563347 PECOS PAC ID: 9335308717 Enrollment ID: O20120306000572 |
| Mailing Address | Practice Location Address |
|---|---|
| P Roman Burk, DPM 1818 S 10th Ave, Suite 250, Caldwell, ID 83605-4803 Ph: (208) 459-0891 | P Roman Burk, DPM 1818 S 10th Ave, Suite 250, Caldwell, ID 83605-4803 Ph: (208) 459-0891 |
Dr. Stanley G. Eto, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 112 W Logan St, Caldwell, ID 83605 Phone: 208-459-0891 Fax: 208-459-8628 | |
Dr. Jed H Erickson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1818 S 10th Ave, Suite 250, Caldwell, ID 83605 Phone: 208-855-8588 Fax: 208-459-8628 | |
Dr. Camille Elizabeth Harris, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1105 E Ustick Rd, Caldwell, ID 83605 Phone: 208-463-7732 Fax: 541-889-4736 | |
Podiatry Services Of Idaho, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 229 E Logan St, Caldwell, ID 83605 Phone: 208-402-6587 Fax: 084-026-5782 | |
Eto Podiatry Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 112 W Logan St, Caldwell, ID 83605 Phone: 208-459-0891 | |
Adam James Gerber, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 430, Caldwell, ID 83605 Phone: 208-302-3100 Fax: 208-302-3155 |