Diane T Hakes (NPI# 1962821249, PAC ID# 7012235674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1962821249 |
| PAC ID by PECOS | 7012235674 |
| Professional Enrollment ID | I20150410000037 |
| Full Name | Diane T Hakes |
| Organization Legal Name | MICHAEL J EISENBEISS SR |
| Address |
315 N Allumbaugh Boise ID 83704-9208 |
| Phone Number | 2083763546 |
| Gender | F |
| Graduation Year | 1991 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3971647272 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131312 | ST LUKE'S MCCALL |
| Address | Phone | Organization |
|---|---|---|
| 315 N Allumbaugh, Boise, ID 83704-9208 | 2083763546 | MICHAEL J EISENBEISS SR |
| 200 Forest St, Mccall, ID 83638-5256 | 2086302470 | ST LUKES CLINIC-MCCALL LLC |
| 209 Forest St, Mccall, ID 83638-5256 | 2086371776 | ST LUKES CLINIC-MCCALL LLC |
| 211 Forest St, Mccall, ID 83638-5256 | 2086342225 | ST LUKES CLINIC-MCCALL LLC |
| 301 Deinhard Ln, Mccall, ID 83638-4703 | 2086302450 | ST LUKES CLINIC-MCCALL LLC |
| Organization Legal Name | MICHAEL J EISENBEISS SR |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Eisenbeiss | Psychologist, Clinical | Michael J Eisenbeiss Sr | 315 N Allumbaugh, Boise, ID 83704-9208 |
| Jane E Krumm | Clinical Social Worker | Michael J Eisenbeiss Sr | 315 N Allumbaugh, Boise, ID 83704-9208 |
| Street Address |
315 N ALLUMBAUGH |
| City | BOISE |
| State | ID |
| Zip | 83704-9208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Eisenbeiss | Psychologist, Clinical | Michael J Eisenbeiss Sr | 315 N Allumbaugh, Boise, ID 83704-9208 |
| Jane E Krumm | Clinical Social Worker | Michael J Eisenbeiss Sr | 315 N Allumbaugh, Boise, ID 83704-9208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tobin E Hill | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Adrian J Curnow | Pediatric Medicine | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Julia K Bouchard | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Steven J Fonken | Interventional Cardiology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, Boise, ID 83704-0107 |
| Ellis J Salloum | Vascular Surgery | Saint Alphonsus Regional Medical Center Inc | 6140 W Curtisian Ave, Boise, ID 83704-0109 |
| Samantha J Benfield | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109 |
| Calvin T Jewell | General Surgery | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 |
| Noah Blue Edvalson | Chiropractic | 3224 N Maple Grove Rd, Boise, ID 83704-4214 | |
| Christopher A Waters | Clinical Psychologist | Living Hope Clinic Inc | 3308 N Cole Rd A, Boise, ID 83704-4407 |
| Charles M Rice | Psychologist, Clinical | 3308 N Cole Rd, Suite A, Boise, ID 83704-4407 | |
| Find all physicians in zip 83704 | |||
| City | BOISE |
| Zip Code | 83704 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BOISE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Diane T Hakes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.