Dr David G Burica, MD | |
1000 State St, Mccall, ID 83638-3704 | |
(208) 634-1776 | |
(208) 634-3873 |
Full Name | Dr David G Burica |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1000 State St, Mccall, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265599096 | NPI | - | NPPES |
006078 | Other | BLUE CROSS OF IDAHO | |
003580300 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M5059 (Idaho) | Primary |
Entity Name | St Lukes Clinic - Mccall Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881982510 PECOS PAC ID: 7618127994 Enrollment ID: O20121120000225 |
Mailing Address | Practice Location Address |
---|---|
Dr David G Burica, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Dr David G Burica, MD 1000 State St, Mccall, ID 83638-3704 Ph: (208) 634-1776 |
Marcia L. Witte, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Forest St, Mccall, ID 83638 Phone: 208-634-1776 Fax: 208-634-3873 | |
Margaret Ann Rosenthal, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 703 N 1st St, Mccall, ID 83638 Phone: 208-630-3023 | |
Dr. Sarah A Jessup, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 703 N 1st St, Mccall, ID 83638 Phone: 208-630-3023 Fax: 208-634-2174 |