Dr Nic R Cordum, MD - Internal Medicine in Boise, ID

Dr Nic R Cordum, MD is a Internal Medicine - Gastroenterology physician based in Boise, Idaho. Dr Nic R Cordum is licensed to practice in Idaho (license number M6979) and his current practice location is 6259 W Emerald St, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 489-1900.

NPI number for Dr Nic R Cordum is 1205803756 and his current mailing address is 6259 W Emerald St, Boise, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205803756.

Contact Information

Dr Nic R Cordum, MD
6259 W Emerald St,
Boise, ID 83704-8731
(208) 489-1900
(208) 375-5286



Physician's Profile

Full NameDr Nic R Cordum
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location6259 W Emerald St, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205803756
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 09/07/2007

Medical Identifiers

Medical identifiers for Dr Nic R Cordum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205803756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology M6979 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nic R Cordum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nic R Cordum, MD
6259 W Emerald St,
Boise, ID 83704-8731

Ph: (208) 489-1900
Dr Nic R Cordum, MD
6259 W Emerald St,
Boise, ID 83704-8731

Ph: (208) 489-1900

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Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 757-446-8920    Fax: 757-446-5242
Dr. James Robert Polk, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3104    
Dr. Michael Frederic Krug, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St, # 111, Boise, ID 83702
Phone: 208-422-1000    Fax: 208-422-1319
Derrel V Walker, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 208-367-7350    Fax: 208-367-3951
Dr. Janat E. O'donnell, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St., # 111, Boise, ID 83702
Phone: 208-422-1325    Fax: 208-422-1319
Carl L Durning, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 6094 W Emerald St, Boise, ID 83704
Phone: 208-367-6575    Fax: 208-367-6597
Dr. Christopher J Goulet, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286

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