provider & pharmacy directory directorio de …...h5628_nsr_18_ma_801_idothmultilang 2/26/2018...

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H5628_20_0008_NM_IDPD_C H5628_20_0008_NM_IDPD_C es

2020 Provider & Pharmacy Directory Directorio de proveedores y farmacias

Molina Medicare Complete Care HMO SNP

Idaho Ada, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Elmore,

Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power,

Twin Falls

This pharmacy directory was updated on 12/2019 . For more recent information or other questions, please contact us, Molina Medicare Complete Care HMO SNP Member Services, at (844) 239-4913, or for TTY users,

dial 711, 7 days a week, 8 a.m. to 8 p.m., local time, or visit MolinaHealthcare.com/Medicare.

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located

on our website at MolinaHealthcare.com/IDMaterials. You may also call Member Services for updated

providers.

If you have additional questions, please call Member Services, at (844) 239-4913, TTY: 711, 7 days a week, 8 a.m. to 8 p.m., local time.

Este directorio de farmacias se actualizó en 12/2019 . Para obtener la información más reciente o respuestas a sus preguntas, comuníquese con nosotros llamando al Departamento de Servicios para Miembros de Molina Medicare Complete Care HMO SNP al (844) 239-4913, o si es usuario del servicio TTY, marque 711, los 7 días de la semana de 8 a.m. a 8 p.m., hora local, o visite MolinaHealthcare.com/Medicare.

Podemos realizar cambios en nuestra red de farmacias durante el año de beneficios. Hay un directorio de farmacias actualizado en nuestro sitio web, MolinaHealthcare.com/IDMaterials. También puede llamar al Departamento de Servicios para Miembros para obtener información actualizada de los proveedores.

Si tiene otras preguntas comuníquese con el Departamento de Servicios para Miembros al (844) 239-4913, TTY al 711, los 7 días de la semana, de 8 a.m. a 8 p.m., hora local.

For more information visit | Para más información visite el sitio web:

MolinaHealthcare.com/Medicare

https://www.molinahealthcare.com/medicarehttps://www.molinahealthcare.com/members/id/en-us/mem/medicare/drug/pages/plan-materials.aspxhttps://www.molinahealthcare.com/medicarehttps://www.molinahealthcare.com/members/id/en-us/mem/medicare/drug/pages/plan-materials.aspxhttps://www.molinahealthcare.com/medicare

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Table of Contents / Índice

Section 1 / Sección 1 - Introduction / Introducción 7 / 11

What is the service area for Molina Medicare Complete Care? / ¿Cuál es el área de servicio para Molina Medicare Complete Care? 9 / 13

How do you find Molina Medicare Complete Care providers that serve your area? / ¿Cómo encontrar proveedores de Molina Medicare Complete Care en su área? 9 / 13

Section 2 / Sección 2 - List of Network Providers / Lista de los proveedores de la red

Primary Care Providers / Proveedores de atención primaria 15

Specialists / Especialistas 143

Hospitals / Hospitales 636

Skilled Nursing Facilities (SNF) / Centros de enfermería especializada (SNF) 637

Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios 640

Long Term Services and Support Providers / Servicios y Apoyo a Largo Plazo (LTSS) 742

Molina Medicare Complete Care Supplemental Benefits Contacts Information 750

Molina Medicare Complete Care Información sobre beneficios suplementarios 751

Supplemental Providers - Chiropractor / Proveedores Suplementarios - quiropráctico 753

Supplemental Providers - Hearing / Proveedores Suplementarios - audición 757

Supplemental Providers - Vision / Proveedores Suplementarios - visión 759

Section 3 / Sección 3 - Pharmacy Directory / Directorio de Farmacias

Pharmacy Introduction / Introducción de Farmacias 766 / 767

Section 4 / Sección 4 - Pharmacies / Farmacias

Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias 768

Mail Order Pharmacy / Farmacia para Pedidos por Correo 780

Home Infusion Pharmacies / Servicios de Farmacias de Infusión en Casa 781

Long-Term Care Pharmacies / Farmacias para Cuidados a Largo Plazo 782

Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies / Programa de Farmacias I/T/U para Servicios de Salud de Indios/Tribus/ Indios Urbanos 784

Index of Providers / Índice de Proveedores 785

1

..........................................................................Index of Pharmacies / Índice de farmacias 816

2

Molina Healthcare of Idaho (Molina) complies with all Federal civil rights laws that relate to healthcare

services. Molina offers healthcare services to all members without regard to race, color, national origin, age,

disability, or sex. Molina does not exclude people or treat them differently because of race, color, national

origin, age, disability, or sex. This includes gender identity, pregnancy and sex stereotyping.

To help you talk with us, Molina provides services free of charge:

• Aids and services to people with disabilities

○ Skilled sign language interpreters

○ Written material in other formats (large print, audio, accessible electronic formats, Braille)

• Language services to people who speak another language or have limited English skills

o Skilled interpreters o Written material translated in your language o Material that is simply written in plain language

If you need these services, contact Molina Member Services at (844) 239-4913; TTY/TDD: 711,

Monday – Friday, 8 a.m. to 8 p.m., local time.

If you think that Molina failed to provide these services or treated you differently based on your race, color,

national origin, age, disability, or sex, you can file a complaint. You can file a complaint in person, by mail,

fax, or email. If you need help writing your complaint, we will help you. Call our Civil Rights Coordinator at

(866) 606-3889, or TTY, 711. Mail your complaint to:

Civil Rights Coordinator

200 Oceangate

Long Beach, CA 90802

You can also email your complaint to [email protected]. Or, fax your complaint to (562) 499-

0610.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for

Civil Rights. Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. You can mail it

to:

U.S. Department of Health and Human Services

200 Independence Avenue, SW

Room 509F, HHH Building

Washington, D.C. 20201

You can also send it to a website through the Office for Civil Rights Complaint Portal, available at

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

If you need help, call 1-800-368-1019; TTY 800-537-7697. 3

mailto:[email protected]://www.hhs.gov/ocr/office/file/index.htmlhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf

H5628_NSR_18_MA_801_IDOTHMultiLang 2/26/2018 9843375MED0318

English

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call Member Services at 1-844-239-4913 (TTY: 711).

Spanish

ATENCIÓN: Si usted habla español, tiene servicios de asistencia lingüística disponibles sin cargo alguno para usted. Llame al Departamento de Servicios para Miembros al 1-844-239-4913 (TTY: 711).

Chinese

收件人：如果您講韓語，則免費提供語言協助服務。請致電會員服務部，電話：1-844-

239-4913 (TTY: 711).

Serbo-Croatian

PAŽNJA: ako govorite srpsko-hrvatski jezik, dostupne su vam besplatne usluge jezične pomoći. Nazovite usluge za članove na broj telefona 1-844-239-4913 (TTY: 711).

Korean

주의 : 한국어를 말할 때 무료로 언어 지원 서비스를 이용할 수 있습니다. 현지 시간으로

월요일부터 금요일까지, 오전 8시부터 오후 8시까지 회원 서비스에 1-844-239-4913 (TTY:

711).

Nepali

ÿþýüþûú�ùø÷�öõþé�ûôõþóú�òñðûïîíì�ëûô~�ëþêþ�ÿèùöþ�ÿôýþèç�øÿæåäþ�öõþéóþé�ãõóâ�ìûá�l�1-844-239-4913 (TTY: 711�äþ�ÿ÷à�ÿôýþèçßñ�óþøÞ�ßó�ÞûïÝèñÿá�l

Vietnamese

LƯU Ý: Nếu quý vị nói tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ có sẵn cho quý vị miễn phí. Gọi cho Dịch Vụ Thành Viên theo số 1-844-239-4913 (TTY: 711).

Arabic

انتباه: إذا كنت من متحدثي اللغة العربیة، فستتوفر لك خدمات المساعدة اللغویة مجانا. یمكن االتصال بخدمات األعضاء على ً .(TTY: 711) 1-844-239-4913 الرقم

German

ACHTUNG: Für Deutsch sprechende Personen stehen kostenlose Sprachassistenzsysteme zur Verfügung. Rufen Sie hierzu die Mitgliederbetreuung unter der Rufnummer 1-844-239-4913 (TTY: 711) an.

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H5628_NSR_18_MA_801_IDOTHMultiLang 2/26/2018 9843375MED0318

Tagalog

PAUNAWA: Kung gumagamit ka ng wikang Tagalog, maaari kang humingi ng mga serbisyo ng tulong sa wika nang libre. Tawagan ang Member Services sa 1-844-239-4913 (TTY: 711).

Russian

ВНИМАНИЕ! Если вы говорите по-русски, вам будут предоставлены услуги переводчика бесплатно. Позвоните в отделение обслуживания клиентов по тел.: 1-844-239-4913 (телетайп: 711).

French

ATTENTION : Si vous parlez français, des services d'assistance linguistique sont gratuitement mis à votre disposition. Contactez les services aux membres au 1-844-239-4913 (TTY: 711).

Japanese

注：日本語をお話しになる場合は、無料の言語支援サービスをご利用いただけます。メ

ンバーサービス1-844-239-4913 (TTY: 711)までお電話ください。

Romanian ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, în mod gratuit. Apelați serviciile pentru membri la 1-844-239-4913 (TTY: 711).

Bantu

MENYA NEZA: Nimba ukoresha ururimi rw’ikibantu, ubwunganizi bw’urwo rurimi uburonswa ku buntu, . Akura abajejwe ivyo bikorwa kuri 1-844-239-4913 (TTY: 711).

Farsi

اگر بھ زبان فارسی صحبت میکنید، خدمات کمک زبانی، بھ صورت رایگان در دسترس شما قرار دارند. با خدمات اعضاء از طریق شماره TTY: 711) 1-844-239-4913) تماس بگیرید.

5

Y0050_20_MA_74_LRPDIntro_C

Y0050_20_MA_74_LRPDIntro_C es

Molina Medicare Complete Care HMO SNP Plan

Provider Directory

This directory is current as of December 10, 2019. This directory provides a list of Molina Medicare Complete Care’s current network providers.

This directory is for the State of Idaho in the counties of Ada, Bannock, Bingham, Boise,

Bonner, Bonneville, Boundary, Canyon, Cassia, Elmore, Fremont, Gem, Jefferson, Kootenai,

Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Falls.

To access Molina Medicare Complete Care’s online provider directory, you can visit

MolinaHealthcare.com/IDMaterials. For any questions about the information contained in this

directory, please call our Member Services Department at (844) 239-4913, 7 days a week, 8 a.m.

to 8 p.m., local time. TTY users should call 711.

This information is available in other formats, such as Braille, large print, and audio.

6

https://www.molinahealthcare.com/members/id/en-us/mem/medicare/drug/pages/plan-materials.aspx

Section 1 – Introduction

This directory provides a list of Molina Medicare Complete Care network providers. To get

detailed information about your health care coverage, please see your Evidence of Coverage

(EOC).

As a member of Molina Medicare Complete Care you are restricted to only see providers that are

contracted within this provider-specific plan (PSP). For more information contact Member

Services.

Network providers are healthcare professionals such as doctors, medical groups, specialists, and

healthcare facilities (i.e. hospitals, durable medical equipment suppliers) that are contracted with

Molina Medicare Complete Care to provide you with covered services. You may use this

directory to help you select a Primary Care Provider, Specialist, Long-Term Services and

Support Provider, Hospital, Skilled Nursing Facility, Outpatient Mental Health Provider and/or

Pharmacy.

Choosing your Primary Care Provider (PCP)

You will have to choose one of our network providers listed in this directory to be your Primary

Care Provider (PCP). Generally, you must get your health care services from your PCP. Your

PCP can be a physician, physician assistant, nurse practitioner, or other health care professional

that meet state requirements and is trained to provide you basic medical care. Healthcare

professionals are eligible to provide you services as a PCP in our Plan, when they are licensed to

practice in areas such as: family medicine, general practice, geriatrics, or internal medicine. Once

you have chosen a PCP, please make sure to transfer all of your medical history to their office, in

order for your PCP to be informed of any medical conditions you may have. Your PCP can help

coordinate your routine medical care, laboratory tests, x-rays, therapies, specialty care, hospital

admissions, and appointments.

The network providers listed in this directory have agreed to provide you with your health care

and supplemental services. You may go to any of our network providers listed in this directory.

However, some services may require a referral. In most situations, if you need specialized

treatment your PCP must give you a “referral” to see a network specialist. If there is a particular

specialist or hospital that you want to use, check first to be sure that your PCP can make referrals

to that specialist or that hospital. A referral is a written order from your PCP to see a specialist or

receive other medical services. It is very important you get a referral from your PCP before you

see a network specialist or other providers. If you do not get a referral you may have to pay for

these services yourself. However, there are a few exceptions such as: women’s preventive

healthcare, flu shots, Hepatitis B vaccinations, pneumonia vaccinations and urgently needed

services.

If you have questions about whether we will pay for a medical service or care that you are

considering, you have the right to ask us whether we will cover it before you get the service or

care.

7

At times, your PCP may request a service that is unavailable or not provided within our network.

Your PCP may need to get an approval ahead of time from Molina Medicare Complete Care to

authorize this service referral. This process is called “prior authorization.” If you have questions

or concerns about a prior authorization, you may call Member Services.

How to change your PCP?

You may change your PCP for any reason, at any time. To change your PCP, simply call

Member Services at (844) 239-49137 days a week, 8 a.m. to 8 p.m., local time. TTY users

should call 711. Member Services will verify if your choice of PCP is accepting new patients.

Once your new PCP has been assigned, you will receive a new member ID card by mail with

your new PCP’s contact information. If your PCP leaves Molina Medicare Complete Care, we

will let you know and help you switch to another PCP so that you can continue to receive

covered services.

Getting care outside the Plan’s service area

You must use network providers except in emergency or urgent care situations or for out-of-area

renal dialysis or other services. If you obtain routine care from out-of-network providers, neither

Medicare nor Molina Medicare Complete Care will be responsible for the costs. However, you

may receive care from out-of-network provider if you are temporarily outside the Plan’s service

area and cannot get care from a network provider or require urgently needed services. If you

have questions whether a service is covered when you are outside the service area, please call

Member Services.

Getting care if you have a medical emergency or an urgent need for care

A “medical emergency” is when you believe that your health is in serious danger. A medical

emergency includes severe pain, a bad injury, a sudden illness, or a medical condition that is

quickly getting much worse. You may get covered emergency medical care whenever you need,

anywhere in the United States. Call 911 for help or go to the nearest emergency room, hospital,

or urgent care center. You don’t need to get approval or a referral first from your doctor or other

network provider.

“Urgent Care” is when you need medical help for an unforeseen illness, injury, or condition, but

your health is not in serious danger. If you have a pressing, non-emergency medical need while

in the service area, call your PCP first. If they are not available, look in this Provider Directory

for an urgent care center. You generally must use network providers (refer to the Evidence of

Coverage).

Out-Of-Network Provider Bills

If you receive services from out-of-network providers, you may get billed directly. Do not pay

this bill. Please make a copy for your records and mail the original statement for processing and

determination of your liability, if any. For more information, please refer to the EOC in Chapter

7.

8

What is the service area for Molina Medicare Complete Care?

The counties in our service area are listed below.

Our service area includes these counties: Ada, Bannock, Bingham, Boise, Bonner, Bonneville,

Boundary, Canyon, Cassia, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka,

Nez Perce, Owyhee, Payette, Power, and Twin Falls.

How do you find Molina Medicare Complete Care providers that serve in

your area?

To help you select a provider near your area, refer to the Table of Contents in Section 2 at the beginning of this directory. Then, select a provider type from this list: (Primary Care Provider,

Specialist, Hospital, Skilled Nursing Facility, or Outpatient Mental Health Provider.) Afterwards,

in alphabetical format, you may locate providers by county, specialty type (if applicable), city, and zip code.

If you have questions about Molina Medicare Complete Care or require assistance in selecting a

PCP, please call our Member Services Department at (844) 239-4913, 7 days a week, 8 a.m. to 8

p.m., local time. TTY users should call 711. You can also visit

MolinaHealthcare.com/Medicare.

If you need help in scheduling appointments, or finding a provider that is accepting new patients,

please call Member Services at (844) 239-4913, 7 days a week, 8 a.m. to 8 p.m., local time. TTY

users should call 711.

To report any errors throughout this directory, email

[email protected] or call Member Services by using the front

and back cover contact information.

9

https://www.molinahealthcare.com/medicaremailto:[email protected]

Molina Medicare Complete Care HMO SNP Plan

Directorio de proveedores

Este directorio entrará en vigencia a partir de 10 diciembre 2019. Este directorio enumera los proveedores actuales de la red Molina Medicare Complete Care.

Este directorio es para el estado de Idaho, en los condados de Ada, Bannock, Bingham, Boise,

Bonner, Bonneville, Boundary, Canyon, Cassia, Elmore, Fremont, Gem, Jefferson, Kootenai,

Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, y Twin Falls.

Para acceder al directorio de proveedores en línea de Molina Medicare Complete Care’s, puede

visitar MolinaHealthcare.com/IDMaterials. Si tiene preguntas acerca de la información que este

directorio contiene, comuníquese con el Departamento de Servicios para Miembros al (844) 239-

4913, los 7 días de la semana, de 8 a.m. a 8 p.m., hora local. Los usuarios de TTY deberán llamar

al 711.

Esta información está disponible en otros formatos, como braille, letra grande y audio.

10

https://www.molinahealthcare.com/members/id/en-us/mem/medicare/drug/pages/plan-materials.aspx

Sección 1 – Introducción

Este directorio enumera los proveedores actuales de la red Molina Medicare Complete Care.

Para obtener información detallada acerca de su cobertura de salud, consulte su Evidencia de

cobertura (EOC).

Como miembro de Molina Medicare Complete Care usted solo puede consultar a los

proveedores contratados por este plan específico de proveedores (PSP). Para obtener más

información, llame al Departamento de Servicios para Miembros.

Los proveedores de la red son profesionales de atención médica, como médicos, grupos médicos,

especialistas y centros de atención médica (es decir, hospitales, proveedores de equipos médicos

duraderos) que tienen contrato con Molina Medicare Complete Care para prestarle los servicios

cubiertos. Puede usar este directorio para elegir un proveedor de atención primaria, un

especialista, un proveedor de servicios y apoyo a largo plazo, un hospital, un centro de

enfermería especializada, un proveedor de salud mental para pacientes ambulatorios o una

farmacia.

Cómo elegir un proveedor de atención primaria (PCP, por sus siglas en inglés)

Usted tendrá que elegir uno de los proveedores de nuestra red que se presentan en este directorio

como su proveedor de atención primaria (Primary Care Provider, PCP). En general, recibirá los

servicios de atención médica de su PCP. Su PCP puede ser un médico, un médico asociado, un

enfermero practicante u otro profesional de la salud que cumpla los requisitos estatales y esté

capacitado para brindarle atención médica básica. Los profesionales de la salud son elegibles

para prestarle servicios como PCP en nuestro plan si tienen licencia para ejercer en áreas como

las siguientes: medicina de familia, medicina general, geriatría o medicina interna. Una vez que

haya escogido un PCP, asegúrese de transferir a su consultorio toda su historia clínica, a fin de

que el PCP esté al tanto de todas las afecciones médicas que usted pueda tener. Su PCP puede

ayudarle a coordinar su atención médica de rutina con sus análisis de laboratorio, radiografías,

terapias, atención especializada, admisiones al hospital y citas médicas.

Los proveedores de la red que aparecen en este directorio han acordado proporcionarle atención

médica y servicios complementarios. Usted puede recurrir a cualquiera de los proveedores de la

red que aparecen en este directorio. No obstante, algunos servicios pueden requerir de una

remisión.

En la mayoría de las situaciones, si necesita un tratamiento proporcionado por un especialista, su

PCP debe darle una "remisión" para que vaya a ver a un especialista de la red. Si usted desea

consultar a un especialista o usar un hospital en particular, asegúrese de verificar primero que su

PCP pueda hacer remisiones a dicho especialista u hospital. Una remisión es una orden escrita de

su PCP para que vea a un médico especialista o reciba otros servicios médicos. Es muy

importante que obtenga la remisión de su PCP antes de visitar a un especialista de la red o a otros

proveedores. Si no obtiene una remisión, es posible que tenga que pagar por estos servicios usted

mismo. Sin embargo, existen ciertas excepciones, como las siguientes: atención médica

11

preventiva para mujeres, vacunas contra la gripe, vacunas contra la hepatitis B, vacunas contra la

neumonía y servicios requeridos urgentemente.

Si usted tiene alguna duda sobre si pagaremos por algún servicio o por la atención médica que

esté considerando, tiene derecho a preguntar si lo cubriremos antes de recibirlo.

A veces, su PCP puede solicitarle un servicio que no esté disponible o que no se brinde dentro de

nuestra red. Es posible que su PCP tenga que obtener una aprobación con anterioridad de parte

de Molina Medicare Complete Care para autorizar la remisión al servicio. A este proceso se le

llama "autorización previa". Si tiene preguntas o inquietudes acerca de una autorización previa,

llame al Departamento de Servicios para Miembros.

¿Cómo cambiar su PCP? Puede cambiar de PCP por cualquier razón, en cualquier momento. Para cambiar su PCP,

solamente debe llamar al Departamento de Servicios para Miembros al (844) 239-4913 los 7 días

de la semana, de 8 a. m. a 8 p. m., hora local. Los usuarios de TTY deberán llamar al 711. El

Departamento de Servicios para Miembros verificará si el PCP que usted eligió acepta nuevos

pacientes. Una vez que se le haya asignado su nuevo PCP, recibirá una nueva tarjeta de

identificación de miembro por correo con la información de contacto de su PCP. Si su PCP deja

a Molina Medicare Complete Care, usted será informado y le ayudaremos con el cambio a otro

PCP a fin de que pueda continuar recibiendo los servicios cubiertos.

Cómo obtener atención fuera del área del servicio del plan Usted debe utilizar proveedores de la red excepto en emergencias o situaciones de atención de

urgencia, o para diálisis renal u otros servicios fuera del área. Si usted obtiene atención de

proveedores externos a la red, ni Medicare ni Molina Medicare Complete Care serán

responsables de los costos. Sin embargo, podrá recibir atención de un proveedor fuera de la red si

se encuentra temporalmente fuera del área de servicio del plan y no puede obtener atención de un

proveedor de la red, o si requiere servicios urgentes. Si tiene preguntas acerca de si un servicio

determinado está cubierto cuando se encuentra fuera del área de servicio, llame al Departamento

de Servicios para Miembros.

Cómo obtener atención si tiene una emergencia médica o una necesidad

urgente de atención Una "emergencia médica" es cuando usted cree que su salud está en grave peligro. Una

emergencia médica incluye dolor intenso, una lesión grave, una enfermedad repentina o una

afección médica que empeore rápidamente. Usted puede obtener atención médica de emergencia

cubierta cuando lo necesite, en cualquier lugar de los Estados Unidos. Llame al 911 para obtener

ayuda o acuda a la sala de emergencias, hospital o centro de atención médica más cercano. No es

necesario que primero obtenga una aprobación o remisión de su médico u otro proveedor de la

red.

"Atención urgente" es cuando usted necesita ayuda médica debido a una enfermedad, lesión o

afección no prevista, pero su salud no está en grave peligro. Si tiene una necesidad médica

apremiante que no constituya una emergencia mientras se encuentre dentro del área de servicio,

llame primero a su PCP. Si este no se encuentra disponible, busque un centro de cuidado urgente

12

en este directorio de proveedores. En general, deberá usar proveedores de la red (consulte la

Evidencia de cobertura).

Facturas de proveedores fuera de la red Si recibe servicios de parte de proveedores que están fuera de la red, es posible que le facturen

directamente a usted por dichos servicios. No pague esa factura. Haga una copia para sus

registros y envíe la factura original para que la procesemos y determinemos la suma por la cual

es responsable, de haberla. Para obtener más información, consulte el Capítulo 7 de la EOC.

¿Cuál es el área de servicio de Molina Medicare Complete Care? A continuación se incluyen los condados dentro de nuestra área de servicio.

Nuestra área de servicio incluye estos condados: Ada, Bannock, Bingham, Boise, Bonner,

Bonneville, Boundary, Canyon, Cassia, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison,

Minidoka, Nez Perce, Owyhee, Payette, Power, y Twin Falls.

¿Cómo encontrar a los proveedores Molina Medicare Complete Care que

trabajan en su área?

Para seleccionar un proveedor que se encuentre en su zona, consulte el Índice en la Sección 2 al principio de este directorio. Luego, seleccione un proveedor de esta lista: (Proveedor de atención

primaria, especialista, hospital, centro de enfermería especializada o proveedor de salud mental

para pacientes ambulatorios). Después de esto, puede buscar los proveedores en orden alfabético

por condado, tipo de especialidad (si corresponde), ciudad y código postal.

Si tiene preguntas sobre Molina Medicare Complete Care o si requiere ayuda para seleccionar un

PCP, comuníquese con nuestro Departamento de Servicios para Miembros llamando al (844)

239-4913, los 7 días de la semana, de 8 a.m. a 8 p.m., hora local. Los usuarios de TTY deberán

llamar al 711. También puede visitar MolinaHealthcare.com/Medicare.

Si necesita ayuda para programar sus citas o para encontrar un proveedor que acepte nuevos

pacientes, llame al Departamento de Servicios para Miembros al (844) 239-4913, los 7 días de la

semana, de 8 a. m. a 8 p. m. hora local. Los usuarios de TTY deberán llamar al 711.

Para denunciar cualquier error en este directorio, envíe un mensaje de correo electrónico a

[email protected] o llame al Departamento de Servicios para

Miembros usando la información de contacto que aparece en la portada y en la contraportada.

13

https://www.MolinaHealthcare.com/Medicaremailto:[email protected]

Provider and Pharmacy Listing Footer Legend

Provider Symbols

Symbol Reference

∆ Offers Telehealth services

~ Accepting New Patients

* Accepts Medicaid

✤ Accessibility parking, building, elevator,

office, exam room and restroom

Pharmacy Symbols: All pharmacies offer extended day supply unless otherwise noted.

Ө Do not offer Extended Day Supply of

Medication

L Limited Access: Pharmacies may not be

available to all members

Listado de proveedores y farmacias al pie de página

Símbolos del proveedor

Símbolo Referencia

∆ Ofrece servicios de telesalud

~ Aceptando a nuevos pacientes

* Acepta Medicaid

✤ Estacionamiento, instalación, ascensor,

consultorio, cuarto de exploración y baños

accesibles

Símbolos de farmacia: Todas las farmacias ofrecen un suministro diurno extendido, a menos

que se indique lo contrario.

Ө No se ofrece un suministro diurno extendido

del medicamento.

L Acceso limitado: Es posible que las farmacias

no estén disponibles para todos los miembros

14

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Section 2 - List of Network Providers / Sección 2 - Lista de los proveedores de la red Primary Care Providers / Proveedores de atención primariaAda County/CondadoTotal Count/Cuenta total: 1556

Idaho

Ada

Abul Husn, Nina, MD~* Family Medicine NPI: 1538421094 Raise The Bottom Training And Counseling Services 9196 W Barnes Dr Boise, ID 83709 (208) 433-0400 Group(s): Raise The Bottom Training And Counseling Services, Terry Reilly Health Services Caldwell Clinic -Mg, 1043230501 Spanish

Allen, Suzanne, MD~ Family Medicine NPI: 1346286044 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Allen, Suzanne, MDb~ Family Medicine NPI: 1346286044 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Allmaras, Tanya, PA~ Physician Assistant NPI: 1427334929 Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Group(s): Kaniksu Health Services 1306883244, Primary Health Medical Group

Allmaras, Tanya, PA~ Physician Assistant NPI: 1427334929 Primary Health Medical Group 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 Group(s): Kaniksu Health Services 1306883244, Primary Health Medical Group

Allmaras, Tanya, PA~ Physician Assistant NPI: 1427334929 Primary Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Group(s): Kaniksu Health Services 1306883244, Primary Health Medical Group

Alviso, Marvin Anthony, MD~* Family Medicine NPI: 1932365533 Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Filipino

Alviso, Marvin Anthony, MD~* Family Medicine NPI: 1932365533 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Filipino

Alviso, Marvin Anthony, MD~* Family Medicine NPI: 1932365533 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Filipino

Ashby, Laurie, MD~* Family Medicine NPI: 1730169178 Samg Extensivists 5966 Curtisian Ave Boise, ID 83704 (208) 302-5460 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676, St Lukes Clinic Treasure Valley Llc

Ashby, Laurie, MDb~* Family Medicine NPI: 1730169178 St Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100 Boise, ID 83702 (208) 947-7700 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676, St Lukes Clinic Treasure Valley Llc

15



Primary Care Providers / Proveedores de atención primariaAda County continued/Condado seguido

Astley, Scott, PAb~* Physician Assistant NPI: 1255482683 Direct Orthopedic Care 1789 S Broadway Ave Ste 100 Boise, ID 83706 (208) 321-4000 Group(s): Direct Orthopedic Care Other Specialties: Z -Medical - Physician Assistant

Astley, Scott, PAb~* Physician Assistant NPI: 1255482683 Direct Orthopedic Care 7979 W Rifleman St Boise, ID 83704 (208) 855-2410 Group(s): Direct Orthopedic Care Other Specialties: Z -Medical - Physician Assistant

Atnip, Elizabeth, MDb~* Family Medicine NPI: 1730568262 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Axtell, Ricky, MDb~* Family Medicine NPI: 1548482771 St Luke’S Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID 83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley Llc

Bailey, Justin, MD~* Family Medicine NPI: 1659484509 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Bailey, Justin, MD~* Family Medicine NPI: 1659484509 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Baker, Bridgette, MD~* Family Medicine NPI: 1265693386 First Choice Healthcare 12400 W Overland Rd Ste 100 Ste 100 Boise, ID 83709 (208) 322-7061 Group(s): Doctors House Calls Llc

Balinger, Adam, MD~ Internal Medicine NPI: 1588981609 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Ballance, David, MD~* Family Medicine NPI: 1881654820 Family Health Care 1075 N Curtis Rd Ste 100 Boise, ID 83706 (208) 377-5166 Group(s): Family Health Care

Barinaga, Mary, MD~* Family Medicine NPI: 1801882881 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Barinaga, Mary, MD~* Family Medicine NPI: 1801882881 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Barnes, Darryl, PA~* Physician Assistant NPI: 1891733663 Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Barnes, Darryl, PA~* Physician Assistant NPI: 1891733663 Primary Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

16




Barnes, Darryl, PA~* Physician Assistant NPI: 1891733663 Primary Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Barnes, Daryn, PA~* Physician Assistant NPI: 1245321942 Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Barnes, Daryn, PAb~* Physician Assistant NPI: 1245321942 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Barron, Gregory, NPb~* Family Medicine NPI: 1932447695 Pioneer Family Medicine 13150 W Persimmon Ln Boise, ID 83713 (208) 938-3663 Group(s): D&G Medical Associates Pllc, Pioneer Family Medicine Other Specialties: Nurse Practitioner - Family

Barrus, Paul, DO~* Family Medicine NPI: 1114926136 Terry Reilly Medical Dental And Behavioral Health 848 S La Cassia Dr Boise, ID 83705 (208) 344-0086 Group(s): Terry Reilly Health Services - Medical Group, Terry Reilly Health Services - Medical Group, 1952756884, Terry Reilly Health Services Caldwell Clinic - Mg, 1043230501 Spanish, French

Bartels, Josef, MDb~* Family Medicine NPI: 1912355462 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075, Saint Alphonsus Regional Medical Center Physicians- 1861676

Basaldua, Charalee, MD~* Family Medicine NPI: 1609036086 Primary Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Group(s): Primary Health Medical Group

Bastian, Allison, MD~* Family Medicine NPI: 1164862058 Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Bastian, Allison, MD~* Family Medicine NPI: 1164862058 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Bastian, Allison, MDb~* Family Medicine NPI: 1164862058 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Bateman, Wade, MDb~* Family Medicine NPI: 1730131038 St Lukes Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713 (208) 375-4955 Group(s): St Lukes Clinic Treasure Valley Llc

17




Baugher, Ryan, DO~* Family Medicine NPI: 1033595905 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group

Baxter, Susan, MDb~* Internal Medicine NPI: 1417959842 St Lukes Clinic - Internal Medicine 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Group(s): St Lukes Clinic Treasure Valley Llc Sign Language

Beach, Ann, MD~* Family Medicine NPI: 1912968892 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Beach, Kelly, PA~* Physician Assistant NPI: 1649668765 Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Group(s): Primary Health Medical Group

Beach, Kelly, PA~* Physician Assistant NPI: 1649668765 Primary Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Group(s): Primary Health Medical Group

Beach, Kelly, PA~* Physician Assistant NPI: 1649668765 Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group

Beach, Kelly, PAb~* Physician Assistant NPI: 1649668765 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group

Belzer, Bruce, MDb* Family Medicine NPI: 1083666382 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group

Biggerstaff, Jennifer, MD~* Family Medicine NPI: 1861690745 Samg Federal Way Travel Medicine 1880 W Judith Ln Boise, ID 83705 (208) 302-5200 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Birch, Christine, PA~* Physician Assistant NPI: 1871912634 Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Group(s): Primary Health Medical Group

Birch, Christine, PA~* Physician Assistant NPI: 1871912634 Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group

Birch, Michele, NP* Family Medicine NPI: 1134608177 St Lukes Clinic Mountain View Medical Center 3301 N Sawgrass Way Boise, ID 83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley Llc

Blough, Susan, MDb~* Internal Medicine NPI: 1336197870 St Lukes Clinic - Internal Medicine 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6400 Group(s): St Lukes Clinic Treasure Valley Llc French

Boettiger, Taylor, MD~ Internal Medicine NPI: 1902036361 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Bollinger, William, MDb~* Internal Medicine NPI: 1942258439 St Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 300 Boise, ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc

Bollinger, William, MDb~* Internal Medicine NPI: 1942258439 St Lukes Mountain States Tumor Institute 100 E Idaho St Boise, ID 83712 (208) 381-2711 Group(s): St Lukes Clinic Treasure Valley Llc

18




Boutkaska, Jude, PAb~ Physician Assistant NPI: 1801948591 Sage Health Care 413 N Allumbaugh St Ste 101 Boise, ID 83704 (208) 323-1125 Group(s): Sage Health Care Other Specialties: Z -Medical - Physician Assistant

Box, Lesleigh, MD~* Internal Medicine NPI: 1720064785 Samg Federal Way Family Med 1880 W Judith Ln Boise, ID 83705 (208) 302-5200 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676, St Lukes Clinic Treasure Valley Llc

Box, Lesleigh, MD~* Internal Medicine NPI: 1720064785 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676, St Lukes Clinic Treasure Valley Llc

Briggs, Jessica, PAb~* Physician Assistant NPI: 1053311084 St Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100 Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure Valley Llc Other Specialties: Z -Medical - Physician Assistant

Bronner, Jason, MDb~* Internal Medicine NPI: 1245267541 St Lukes Clinic - Internal Medicine 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Group(s): St Lukes Clinic Treasure Valley Llc

Bruce, Jessica, NPb~* Nurse Practitioner NPI: 1205029162 St Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 201 Boise, ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc

Bryan, Thornton, MDb~* Family Medicine NPI: 1003808924 St Lukes Clinic Family Medicine 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Group(s): St Lukes Clinic Treasure Valley Llc

Burgess, Anne, MD~* Family Medicine NPI: 1194767178 Samg Overland Family Medicine 10255 W Overland Rd Boise, ID 83709 (208) 302-5600 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Burke, Ryan, PA~* Physician Assistant NPI: 1194132860 Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Group(s): Primary Health Medical Group

Cadwallader, Kara, MDb* Family Medicine NPI: 1669414728 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Carlson, Chelsea, MD~* Family Medicine NPI: 1396156675 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Carmichael, Lindsey, PAb~* Physician Assistant NPI: 1285904144 Direct Orthopedic Care 1789 S Broadway Ave Ste 100 Boise, ID 83706 (208) 321-4000 Group(s): Allied Orthopedics, Direct Orthopedic Care Other Specialties: Z -Medical - Physician Assistant

Carrasco, Alicia, MDb~* Internal Medicine NPI: 1124319421 Terry Reilly Health Services Boise Clinic 300 S 23rd St Boise, ID 83702 (208) 344-3512 Group(s): Terry Reilly Health Services Boise Clinic - Medical Group Spanish

19




Case, Shanna, MD~ Internal Medicine NPI: 1205004215 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Castellano, Patrick, PA~* Family Medicine NPI: 1689856809 Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID 83702 (208) 472-9082 Group(s): Direct Orthopedic Care, Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Chasin, Judith, MDb~* Family Medicine NPI: 1427256841 St Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100 Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure Valley Llc Spanish

Chong, Joshua, DO~* Family Medicine NPI: 1326431198 Samg W Emerald Family Medicine 6051 W Emerald St Boise, ID 83704 (208) 302-5100 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Chorn, Andy, PAb~* Physician Assistant NPI: 1205111390 Direct Orthopedic Care 1789 S Broadway Ave Ste 100 Boise, ID 83706 (208) 321-4000 Group(s): Direct Orthopedic Care

Christensen, Scott, MDb~* Family Medicine NPI: 1578719027 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075, Health West Inc - Medical Group, Health West Isu Clinic 1912261413 Spanish, Portuguese

Clark, Juliet, PA~* Family Medicine NPI: 1649214131 Samg Overland Family Medicine 10255 W Overland Rd Boise, ID 83709 (208) 302-5600 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Clark, Megan, PA~* Physician Assistant NPI: 1285109942 Corporate Wellness Clinic 1055 N Curtis Rd Boise, ID 83706 (208) 367-6225 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676, Sawtooth Epidemiology And Infectious Diseases Pc

Cliften, Peter, MD~ Internal Medicine NPI: 1760473771 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Coate, Katherine, NPb~* Nurse Practitioner NPI: 1619939451 Neighborhood Clinic 2036 N Cole Rd Boise, ID 83704 (208) 375-0722 Group(s): Neighborhood Clinic

Colson, Kathryn, PAb~* Physician Assistant NPI: 1457363970 The Shoulder Clinic Of Idaho 8854 W Emerald Ste 102 Boise, ID 83704 (208) 323-4747 Group(s): The Shoulder Clinic Of Idaho Other Specialties: Z -Medical - Physician Assistant

Colson, Loren, DO~* Family Medicine NPI: 1629457155 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Colson, Loren, DOb~* Family Medicine NPI: 1629457155 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

20




Cook, Jennifer, MD~* Family Medicine NPI: 1265680417 Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075

Cook, Jennifer, MD~* Family Medicine NPI: 1265680417 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075

Cook, Jennifer, MD~* Family Medicine NPI: 1265680417 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075

Crawford, Christian, PA~* Physician Assistant NPI: 1427303478 Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Group(s): Primary Health Medical Group

Crawford, Christian, PA~* Physician Assistant NPI: 1427303478 Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group

Crawford, Christian, PAb~* Physician Assistant NPI: 1427303478 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group

Cron, Andrew, MDb~* Family Medicine NPI: 1497707897 St Lukes Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713 (208) 375-4955 Group(s): St Lukes Clinic Treasure Valley Llc, Summit Family Health

Crosland, Laron, MDb~* Family Medicine NPI: 1134363625 St Lukes Clinic - Family Medicine 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Group(s): St Lukes Clinic Treasure Valley Llc Spanish

Crouch, Robert, DO~* Family Medicine NPI: 1164801692 Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Culbertson, Eric, PA~* Physician Assistant NPI: 1134358104 The Pain Center 633 N 4th St Boise, ID 83702 (208) 342-9800 Group(s): The Pain Center Other Specialties: Z -Medical - Physician Assistant Tagalog

Curran, Laura, NPb~* Family Medicine NPI: 1982115309 Pioneer Family Medicine 13150 W Persimmon Ln Boise, ID 83713 (208) 938-3663 Group(s): Pioneer Family Medicine Other Specialties: Nurse Practitioner - Gerontology

Cyprus, Idalyn, MDb~* Family Medicine NPI: 1245210228 St Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100 Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure Valley Llc

21




Davids, Abby, MD~* Family Medicine NPI: 1780970491 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Davis, Charles, DO~* Family Medicine NPI: 1104877364 Samg W Emerald Family Medicine 6051 W Emerald St Boise, ID 83704 (208) 302-5100 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Deblieck, Timothy, MD~* Family Medicine NPI: 1114961042 Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Deblieck, Timothy, MD~* Family Medicine NPI: 1114961042 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Deblieck, Timothy, MDb~* Family Medicine NPI: 1114961042 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Defrang, Caroline, MD~ Internal Medicine NPI: 1699724690 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Devitt, Angeline, MD~* Family Medicine NPI: 1659324358 Samg Bhp Family Medicine 2141 E Parkcenter Blvd Boise, ID 83706 (208) 302-5000 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Devlin, Katherine, NP~* Family Medicine NPI: 1366620825 Samg Federal Way Family Med 1880 W Judith Ln Boise, ID 83705 (208) 302-5200 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Dillion-Bialobrzeski, April, DO* Family Medicine NPI: 1033329842 Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Group(s): Primary Health Medical Group

Dillion-Bialobrzeski, April, DO* Family Medicine NPI: 1033329842 Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group

Dockter, Lisa, MD~* Family Medicine NPI: 1285689034 Primary Health Medical Group 3280 E Lanark Drive Boise, ID 83704 (208) 895-6870 Group(s): Primary Health Medical Group Spanish

Domangue-Shiflett, Natalie, MDb~* Family Medicine NPI: 1376510123 Pioneer Family Medicine 13150 W Persimmon Ln Boise, ID 83713 (208) 938-3663 Group(s): Pioneer Family Medicine

Donovan, Jodie, MDb~* Internal Medicine NPI: 1295027688 St Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 300 Boise, ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc

22




Doyle, Catherine, MDb~* Family Medicine NPI: 1952712242 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075, St Lukes Clinic Llc - Medical Group

Dsouza, Sherwin, MDb~* Internal Medicine NPI: 1225061351 St Lukes Clinic -Humphreys Diabetes 1226 W River St Boise, ID 83702 (208) 331-1155 Group(s): St Lukes Clinic Treasure Valley Llc Hindi

Dsouza, Sherwin, MDb~* Internal Medicine NPI: 1225061351 St Lukes Clinic - Idaho Endocrinology 403 S 11th St Ste 100 Boise, ID 83702 (208) 429-0300 Group(s): St Lukes Clinic Treasure Valley Llc Hindi

Durham, Joshua, DO~* Family Medicine NPI: 1013194208 Samg Mcmillan Family Medicine 12273 W Mcmillan Rd Boise, ID 83713 (208) 302-5500 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Edwards, Jeffrey, MD~* Family Medicine NPI: 1578566253 Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish, French

Edwards, Jeffrey, MDb~* Family Medicine NPI: 1578566253 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish, French

England, Benjamin, MD~ Internal Medicine NPI: 1114916186 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Epperly, Ted, MDb~* Family Medicine NPI: 1134176548 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Epperson, Aaron, PAb~* Physician Assistant NPI: 1114056132 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group

Epperson, Aaron, PA~* Physician Assistant NPI: 1114056132 Primary Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Group(s): Primary Health Medical Group

Erbele, Tara, MDb~* Family Medicine NPI: 1427081744 St Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100 Boise, ID 83702 (208) 947-7700 Group(s): Lyon Medical, St Lukes Clinic Treasure Valley Llc

Erbele, Tara, MDb~* Family Medicine NPI: 1427081744 Womens Health Associates 333 N 1st St Ste 240 Boise, ID 83702 (208) 338-8900 Group(s): Lyon Medical, St Lukes Clinic Treasure Valley Llc

Erwin, Ann, MDb~* Family Medicine NPI: 1851494223 St Lukes Clinic - Idaho Family Physicians 130 E Boise Ave Boise, ID 83706 (208) 345-4066 Group(s): St Lukes Clinic Treasure Valley Llc

23




Esplin, Andrea, MD~* Family Medicine NPI: 1508177684 Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Esplin, Andrea, MD~* Family Medicine NPI: 1508177684 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Esplin, Andrea, MD~* Family Medicine NPI: 1508177684 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Ewings, Maria, MDb~* Internal Medicine NPI: 1255422747 St Lukes Clinic - Internal Medicine 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Group(s): St Lukes Clinic Treasure Valley Llc

Fernandez Brandt, Melina, MD~ Internal Medicine NPI: 1366605180 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc Spanish, Portuguese

Figueroa, April, NPb* Nurse Practitioner NPI: 1982952529 St Lukes Childrens -Treasure Valley Pediatrics 100 E Idaho St Ste 401 Boise, ID 83712 (208) 345-0715 Group(s): St Lukes Clinic Treasure Valley Llc

Freeman, Leah, DOb~* Family Medicine NPI: 1124464615 St Lukes Clinic - Family Medicine 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Group(s): St Lukes Clinic Treasure Valley Llc Spanish

Gallafent, James, MDb~* Internal Medicine NPI: 1518077437 St Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 201 Boise, ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc French

Gallafent, James, MD~* Internal Medicine NPI: 1518077437 St Lukes Clinic Palliative Medicine 1000 E Park Blvd Ste 120 Boise, ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc French

Gendler, Julie, MD~* Family Medicine NPI: 1932146388 Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Gendler, Julie, MDb~* Family Medicine NPI: 1932146388 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Gerrish, Sarah, MD~* Family Medicine NPI: 1982832176 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075, St Lukes Clinic Treasure Valley Llc

Giffen, J Perry, MDb~* Internal Medicine NPI: 1275583643 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

24




Giffen, Sheila, MD~* Family Medicine NPI: 1013957802 Samg Extensivists 5966 Curtisian Ave Boise, ID 83704 (208) 302-5460 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Glass, Justin, MDb~* Family Medicine NPI: 1194820852 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075

Gorham, Amber, PAb~* Internal Medicine NPI: 1881718880 Womens Health Associates 333 N 1st St Ste 240 Boise, ID 83702 (208) 338-8900 Group(s): St Lukes Clinic Treasure Valley Llc, Womens Health Associates Pllc Other Specialties: Physician Assistant

Grooms, Shanda, MD~ Internal Medicine NPI: 1750330080 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Guicheteau, John, MD~* Internal Medicine NPI: 1902840473 Samg Internal Med And Geriatrics 5966 W Curtisian Ave Boise, ID 83704 (208) 302-5400 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Hamblin, Derek, MD~* Family Medicine NPI: 1790713204 Primary Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Group(s): Primary Health Medical Group

Hamblin, Derek, MD~* Family Medicine NPI: 1790713204 Primary Health Medical Group 3280 E Lanark Drive Boise, ID 83704 (208) 895-6870 Group(s): Primary Health Medical Group

Hamblin, Derek, MD~* Family Medicine NPI: 1790713204 Primary Health Medical Group 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 Group(s): Primary Health Medical Group

Hamblin, Derek, MD~* Family Medicine NPI: 1790713204 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group

Hartman, D David, MD* Family Medicine NPI: 1588669410 Primary Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Group(s): Primary Health Medical Group

Henao, Gloria, MD~* Internal Medicine NPI: 1306036835 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): Apogee Medical Group Idaho Pc, St Lukes Clinic Treasure Valley Llc Spanish

Henkle, Sarah, MD~* Family Medicine NPI: 1295146587 Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish, French

Henkle, Sarah, MD~* Family Medicine NPI: 1295146587 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish, French

Henkle, Sarah, MD~* Family Medicine NPI: 1295146587 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish, French

25




Hippe, Scott, MD~* Family Medicine NPI: 1730537218 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075

Hoffman, Christina, NP~* Nurse Practitioner NPI: 1164898201 Primary Health Medical Group 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 Group(s): Primary Health Medical Group

Holbrook, Mark, MDb~* Internal Medicine NPI: 1205884616 St Lukes Clinic - Internal Medicine 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Group(s): St Lukes Clinic Treasure Valley Llc

Holliday, Jennifer, MDb~* Family Medicine NPI: 1538320676 St Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100 Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure Valley Llc

Hollopeter, Sarah, MD~* Family Medicine NPI: 1144243619 Samg Federal Way Family Med 1880 W Judith Ln Boise, ID 83705 (208) 302-5200 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Hudon, Tyler, MD~* Family Medicine NPI: 1295097012 Primary Health Medical Group 3280 E Lanark Drive Boise, ID 83704 (208) 895-6870 Group(s): Primary Health Medical Group Spanish

Isaacson, Ronnie, PA~* Physician Assistant NPI: 1275007965 Ambitions Of Idaho 6550 Emerald St Ste 108 Boise, ID 83704 (208) 344-2228 Group(s): Ambitions Of Idaho - Medical Group

Jackson, Derek, MDb* Family Medicine NPI: 1225299357 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075 Spanish

Johnson, Gregory, MDb~* Family Medicine NPI: 1508969973 St Lukes Clinic - Idaho Family Physicians 130 E Boise Ave Boise, ID 83706 (208) 345-4066 Group(s): St Lukes Clinic Treasure Valley Llc

Johnson, Shae, DO~* Family Medicine NPI: 1669588315 Samg W Emerald Family Medicine 6051 W Emerald St Boise, ID 83704 (208) 302-5100 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Johnson, Troy, MD~ Internal Medicine NPI: 1740422757 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc Spanish

Jordan, Anthony, MDb~* Family Medicine NPI: 1144212549 St Lukes Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713 (208) 375-4955 Group(s): St Lukes Clinic Treasure Valley Llc

Judy, Elizabeth, PAb~* Physician Assistant NPI: 1083123277 Boise Family Medicine 10798 W Overland Rd Boise, ID 83709 (208) 377-3368 Group(s): Boise Family Medicine

26




Kantayya, Vivek, MDb~* Family Medicine NPI: 1437132479 Terry Reilly Health Services Boise Clinic 300 S 23rd St Boise, ID 83702 (208) 344-3512 Group(s): Terry Reilly Health Services - Medical Group, Terry Reilly Health Services - Medical Group, 1952756884, Terry Reilly Health Services Boise Clinic - Medical Group Tamil

Kantayya, Vivek, MD~* Family Medicine NPI: 1437132479 Terry Reilly Medical Dental And Behavioral Health 848 S La Cassia Dr Boise, ID 83705 (208) 344-0086 Group(s): Terry Reilly Health Services - Medical Group, Terry Reilly Health Services - Medical Group, 1952756884, Terry Reilly Health Services Boise Clinic - Medical Group Tamil

Karas, Daria, PA~* Family Medicine NPI: 1174993463 Samg Bhp Urgent Care 2141 E Parkcenter Blvd Boise, ID 83706 (208) 302-5050 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676 Hebrew, Russian

Karas, Daria, PA~* Family Medicine NPI: 1174993463 Samg Findley Urgent Care 3587 S Federal Way Boise, ID 83705 (208) 302-5350 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676 Hebrew, Russian

Karas, Daria, PA~* Family Medicine NPI: 1174993463 Samg Lake Hazel Urgent Care 10583 W Lake Hazel Rd Boise, ID 83709 (208) 302-5950 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676 Hebrew, Russian

Karas, Daria, PA~* Family Medicine NPI: 1174993463 Samg Overland Family Medicine 10255 W Overland Rd Boise, ID 83709 (208) 302-5600 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676 Hebrew, Russian

Karas, Daria, PA~* Family Medicine NPI: 1174993463 Samg W Emerald Ortho Urgent Care 6051 W Emerald St Boise, ID 83704 (208) 302-5150 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676 Hebrew, Russian

Kern, Lisa, MD~* Family Medicine NPI: 1588618219 Samg Bhp Family Medicine 2141 E Parkcenter Blvd Boise, ID 83706 (208) 302-5000 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

King, Ashley, MDb~* Family Medicine NPI: 1235440314 St Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100 Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure Valley Llc

Kipp, Adam, MDb~* Family Medicine NPI: 1982968665 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Family Medicine Residency Of Idaho Inc - Medical Group, 1841490075

Kittelson, Brian, NPb~* Family Medicine NPI: 1730234345 Saltzer Clinics 7272 W Potomac Dr Boise, ID 83704 (208) 884-2922 Group(s): Saltzer Clinics Other Specialties: Nurse Practitioner - Family

Kocemba, Russell, MDb~* Family Medicine NPI: 1588629406 St Luke’S Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID 83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley Llc

27




Kohler, Gretchen, MDb~* Internal Medicine NPI: 1982698502 St Lukes Clinic - Internal Medicine 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Group(s): St Lukes Clinic Treasure Valley Llc

Kolb, Jason, PA~* Physician Assistant NPI: 1992215545 Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group, Saint Alphonsus Regional Medical Center Physicians- 1861676

Kolb, Jason, PAb~* Physician Assistant NPI: 1992215545 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group, Saint Alphonsus Regional Medical Center Physicians- 1861676

Komori, Allyson, DOb~* Internal Medicine NPI: 1679869473 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Konrad, Jill, NP~* Family Medicine NPI: 1396261129 Samg Overland Family Medicine 10255 W Overland Rd Boise, ID 83709 (208) 302-5600 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Kornfield, Lee, MDb~* Internal Medicine NPI: 1275527186 St Lukes Clinic - Internal Medicine 600 N Robbins Rd Ste 301 Boise, ID 83702 (208) 385-3329 Group(s): St Lukes Clinic Treasure Valley Llc

Kracke, Elsa, MDb~* Family Medicine NPI: 1053707935 St Lukes Clinic Family Medicine 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Group(s): St Lukes Clinic Treasure Valley Llc

Kroll, Becky, MDb~* Family Medicine NPI: 1457648230 St Luke’S Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID 83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley Llc

Kuntz, Kara, MD~* Internal Medicine NPI: 1891057246 Samg Geriatrics Clinic 5966 W Curtisian Ave Boise, ID 83704 (208) 302-5470 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Lafleur, Nicole, MD~* Family Medicine NPI: 1558370254 Primary Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Group(s): Primary Health Medical Group

Lamb, Sean, PA~* Physician Assistant NPI: 1053763896 Primary Health Medical Group 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Group(s): Primary Health Medical Group

Lane, Megan, PA~* Physician Assistant NPI: 1326380544 Samg Bhp Urgent Care 2141 E Parkcenter Blvd Boise, ID 83706 (208) 302-5050 Group(s): Idaho Arthritis Center, Saint Alphonsus Regional Medical Center Physicians - 1861676

Lane, Megan, PA~* Physician Assistant NPI: 1326380544 Samg Lake Hazel Urgent Care 10583 W Lake Hazel Rd Boise, ID 83709 (208) 302-5950 Group(s): Idaho Arthritis Center, Saint Alphonsus Regional Medical Center Physicians - 1861676

Leavitt, Josh, DO~* Family Medicine NPI: 1174834246 Lifeways 8050 W Northview St Boise, ID 83704 (208) 327-0504 Group(s): Lifeways Inc

Leonard, Bryce, PA~* Physician Assistant NPI: 1356743843 Primary Health Medical Group 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 Group(s): Primary Health Medical Group, St Lukes Clinic Treasure Valley Llc

28




Lewis, Erika, MDb* Internal Medicine NPI: 1659320570 St Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 300 Boise, ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc

Loegering, Michael, NPb~* Nurse Practitioner NPI: 1821038704 Sage Health Care 413 N Allumbaugh St Ste 101 Boise, ID 83704 (208) 323-1125 Group(s): Sage Health Care

Loewenstein, Timothy, PA* Physician Assistant NPI: 1376597377 Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Loewenstein, Timothy, PA* Physician Assistant NPI: 1376597377 Primary Health Medical Group 300 W Myrtle St Ste 300 Ste 300 Boise, ID 83702 (208) 472-9082 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Loewenstein, Timothy, PA~* Physician Assistant NPI: 1376597377 Primary Health Medical Group 3280 E Lanark Drive Boise, ID 83704 (208) 895-6870 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Loewenstein, Timothy, PAb* Physician Assistant NPI: 1376597377 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Long, Stephanie, MD~ Family Medicine NPI: 1043448236 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500

Lucas, Jennifer, PAb~* Physician Assistant NPI: 1356893549 Direct Orthopedic Care 7979 W Rifleman St Boise, ID 83704 (208) 855-2410 Group(s): Direct Orthopedic Care, St Lukes Clinic Treasure Valley Llc

Lucas, Jennifer, PAb* Physician Assistant NPI: 1356893549 St Lukes Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713 (208) 375-4955 Group(s): Direct Orthopedic Care, St Lukes Clinic Treasure Valley Llc

Ludwig, Jason, DOb~* Family Medicine NPI: 1144258534 Pioneer Family Medicine 13150 W Persimmon Ln Boise, ID 83713 (208) 938-3663 Group(s): Genesis Elder Care Physician Services Inc, Gps Physician Group Pc, Pioneer Family Medicine

Maffey, Jenna, PA~* Physician Assistant NPI: 1467787598 Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Maier, Eric, MDb~* Family Medicine NPI: 1831154707 St Luke’S Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID 83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley Llc

Maier, Michael, MDb~* Family Medicine NPI: 1912963828 St Luke’S Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID 83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley Llc

29




Maloney, Gregory, PA~* Physician Assistant NPI: 1689035404 Primary Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Group(s): Primary Health Medical Group

Martinez, Stephen, MDb~* Family Medicine NPI: 1154362804 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group

Mccarren, Megan, MD~ Internal Medicine NPI: 1841490950 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Mccauley, Shane, MD~* Family Medicine NPI: 1083603229 Samg W Emerald Occupational Medicine 6051 W Emerald St Boise, ID 83704 (208) 302-7600 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Mcclaskey, Daniel, MD~ Internal Medicine NPI: 1558560060 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Mcgeorge, Laura, MDb~* Internal Medicine NPI: 1629029699 St Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 201 Boise, ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc

Mebane, Mary, PAb~* Physician Assistant NPI: 1154374536 St Lukes Clinic - Internal Medicine 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6400 Group(s): St Lukes Clinic Treasure Valley Llc

Mebane, Mary, PA~* Physician Assistant NPI: 1154374536 St Lukes Clinic Palliative Medicine 1000 E Park Blvd Ste 120 Boise, ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc

Meier, Alexandra, MD~* Geriatric Medicine -Family Medicine NPI: 1619234622 Samg House Calls 5966 W Curtisian Ave Boise, ID 83704 (208) 302-5490 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Michaud, Mark, MD* Family Medicine NPI: 1780621128 Primary Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Group(s): Primary Health Medical Group

Miller, Katherine, MD~* Family Medicine NPI: 1225066707 Samg Bhp Family Medicine 2141 E Parkcenter Blvd Boise, ID 83706 (208) 302-5000 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Montamat, Stephen, MDb~* Internal Medicine NPI: 1548210958 St Lukes Clinic - Internal Medicine 300 E Jefferson St Ste 201 Boise, ID 83712 (208) 381-4100 Group(s): St Lukes Clinic Treasure Valley Llc

Moon, Erin, PA~ Physician Assistant NPI: 1588826846 Family Health Care 1075 N Curtis Rd Ste 100 Boise, ID 83706 (208) 377-5166 Group(s): Family Health Care

Moore, Harold, MD~* Family Medicine NPI: 1356320915 Samg Federal Way Family Med 1880 W Judith Ln Boise, ID 83705 (208) 302-5200 Group(s): Saint Alphonsus Regional Medical Center Physicians - 1861676

Moore, Ryan, MD* Family Medicine NPI: 1386664654 Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Group(s): Primary Health Medical Group

Moorhouse, Aaron, DOb~* Family Medicine NPI: 1689602914 Pioneer Family Medicine 13150 W Persimmon Ln Boise, ID 83713 (208) 938-3663 Group(s): Pioneer Family Medicine

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Moos, Aaron, MD~* Obstetrics & Gynecology NPI: 1255657011 St Lukes Clinic Obstetrics And Gynecology 100 E Idaho St Boise, ID 83712 (208) 343-7501 Group(s): St Lukes Clinic Treasure Valley Llc

Morales, Jessica, DO~ Internal Medicine NPI: 1790048221 St Lukes Clinic -Hospitalists 190 E Bannock St Boise, ID 83712 (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

Morrill, Scott, PA~* Physician Assistant NPI: 1033354915 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group Other Specialties: Z -Medical - Physician Assistant

Moses, Nicole, MDb~* Family Medicine NPI: 1881801322 St Lukes Clinic - St Lukes Family Health 2083 Hospitality Ln Boise, ID 83716 (208) 333-8345 Group(s): St Lukes Clinic Treasure Valley Llc

Mudge, Sandy, MD~* Family Medicine NPI: 1366704017 Family Medicine Health Center 121 E Fort St Boise, ID 83712 (208) 514-2525 Group(s): Central District Health Department, Family Medicine Residency Of Idaho Inc -Medical Group, 1841490075 Spanish, French

Mudge, Sandy, MD~* Family Medicine NPI: 1366704017 Family Medicine Health Center 6565 W Emerald St Boise, ID 83704 (208) 514-2510 Group(s): Central District Health Department, Family Medicine Residency Of Idaho Inc -Medical Group, 1841490075 Spanish, French

Mudge, Sandy, MD~* Family Medicine NPI: 1366704017 Family Medicine Health Center 777 N Raymond St Boise, ID 83704 (208) 514-2500 Group(s): Central District Health Department, Family Medicine Residency Of Idaho Inc -Medical Group, 1841490075 Spanish, French

Mulder, Gertjan, MDb~* Family Medicine NPI: 1659336691 St Luke’S Clinic –Mountain View Medical Center 3301 N Sawgrass Wy Boise, ID 83704 (208) 375-0862 Group(s): St Lukes Clinic Treasure Valley Llc Dutch

Munn, Stacia, MDb~* Family Medicine NPI: 1477586162 St Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100 Boise, ID 83702 (208) 947-7700 Group(s): St Lukes Clinic Treasure Valley Llc

Nagle, Mary, MDb~* Family Medicine NPI: 1518253848 Primary Health Medical Group 6052 W State St Boise, ID 83703 (208) 947-1947 Group(s): Primary Health Medical Group

Nandy, Mousumi, MD~ Internal Medicine NPI: 1508887472 St Lukes Clinic -Hospitalists 190 E Bannock

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