Dr Michael Mccormick, DO | |
801 Pole Line Rd W, Twin Falls, ID 83301-5810 | |
(208) 814-4100 | |
(208) 814-4908 |
Full Name | Dr Michael Mccormick |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 11 Years |
Location | 801 Pole Line Rd W, Twin Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922423532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25160 (Mississippi) | Secondary |
207R00000X | Internal Medicine | O-1441 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic Llc | 1052217478 | 274 |
Pocatello Health Services Llc | 6608927637 | 153 |
Entity Name | St Lukes Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Entity Name | Pocatello Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Mccormick, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Michael Mccormick, DO 801 Pole Line Rd W, Twin Falls, ID 83301-5810 Ph: (208) 814-4100 |
Joseph Murdock Strobel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 | |
Dr. William Stephen Lefler Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 746 N College Rd Ste A, Twin Falls, ID 83301 Phone: 208-814-7230 | |
Nagraj Narasimhan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 | |
Dr. Timothy Adam Enders, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 | |
Dr. Joseph Ezer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W Ste 315, Twin Falls, ID 83301 Phone: 208-814-8750 | |
John A Baker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 302, Twin Falls, ID 83301 Phone: 208-814-8600 Fax: 208-814-8942 | |
Krystin Nicole Hedeen, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 |