| Ashley a Davis M.D.P.C. | |
|
222 N 2nd St Suite 204 Boise ID 83702-6109 | |
| (208) 429-9100 | |
| (208) 429-9118 |
| Full Name | Ashley a Davis M.D.P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 222 N 2nd St, Boise, Idaho |
| Authorized Official Name and Position | Ashley a Davis (PRESIDENT) |
| Authorized Official Contact | 2084299100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley a Davis M.D.P.C. Po Box 44613 Boise ID 83711-0613 Ph: (208) 429-9100 | Ashley a Davis M.D.P.C. 222 N 2nd St Suite 204 Boise ID 83702-6109 Ph: (208) 429-9100 |
| NPI Number | 1306970827 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0547204695 |
|---|---|
| Medicare Enrollment ID | O20050620000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306970827 | NPI | - | NPPES |
| 8L097 | Other | ID | BLUE CROSS OF IDAHO |
| 000010151197 | Other | ID | REGENCE BLUE SHIELD OF ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Ashley a Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437180841 PECOS PAC ID: 7618911769 Enrollment ID: I20050623000842 |
| Provider Name | Emily R Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891197570 PECOS PAC ID: 7517281322 Enrollment ID: I20150127002383 |
| Provider Name | Christopher E Chandler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972992329 PECOS PAC ID: 7113247966 Enrollment ID: I20170602001857 |
| Provider Name | Megan C Mcintyre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053644898 PECOS PAC ID: 3678614690 Enrollment ID: I20180806003408 |
| Provider Name | Anthony Pirouz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366833923 PECOS PAC ID: 9436462835 Enrollment ID: I20201111001624 |
| Provider Name | Tara Debardeleben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265828230 PECOS PAC ID: 6305157900 Enrollment ID: I20220308000206 |
| Provider Name | Melisa Randall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427782549 PECOS PAC ID: 7810365830 Enrollment ID: I20221123001469 |
| Provider Name | Isabela Rose Lete |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275264731 PECOS PAC ID: 2264875160 Enrollment ID: I20240207003806 |
| Provider Name | Casandra June Odoms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205516697 PECOS PAC ID: 6002391356 Enrollment ID: I20260403001362 |
Riverside Primary Care Adult and Geriatric Medicine Plllp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1673 W Shoreline Dr Ste 100, Boise, ID 83702 Phone: 208-593-3054 |
Terry Reilly Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2216 W Fairview Ave, Boise, ID 83702 Phone: 208-721-5070 Fax: 208-466-5359 |
Guy M. Hanson, DDS, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9203 W Overland Rd, Boise, ID 83709 Phone: 208-375-1012 Fax: 208-375-1098 |
Ann Cordum PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Fort St, Boise, ID 83702 Phone: 208-994-8656 |
Idaho Concierge Medicine LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11696 W Gabrielle Ct # 83713, Boise, ID 83713 Phone: 208-314-1325 |
Main Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Main St, Boise, ID 83702 Phone: 208-336-7722 |