Eric Overton, | |
3217 W Bavaria St, Eagle, ID 83616-5171 | |
(208) 302-6200 | |
(208) 302-6255 |
Full Name | Eric Overton |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3217 W Bavaria St, Eagle, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225448327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-16769 (Idaho) | Secondary |
207Q00000X | Family Medicine | R74402 (Arizona) | Primary |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Entity Name | Health Diversified - Medical Group Of Utah Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508518085 PECOS PAC ID: 8325401169 Enrollment ID: O20230828001901 |
Mailing Address | Practice Location Address |
---|---|
Eric Overton, 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 367-5170 | Eric Overton, 3217 W Bavaria St, Eagle, ID 83616-5171 Ph: (208) 302-6200 |
Mr. Peter Voss Abraham, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 507 S Fitness Pl, Suite 110, Eagle, ID 83616 Phone: 208-947-0925 Fax: 208-947-0926 | |
Bartholomew Michael Ripepi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1895 Mcgrath Rd, Eagle, ID 83616 Phone: 208-939-8200 Fax: 208-939-8222 | |
Nancy Mallory, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 435 S Eagle Rd, Eagle, ID 83616 Phone: 208-939-8200 | |
Dr. James Donald Mcgregor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 E Riverside Drive, Ste 224, Eagle, ID 83616 Phone: 208-302-6000 Fax: 208-302-6055 | |
Dr. Michael A Kaylor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 S Eagle Rd, Eagle, ID 83616 Phone: 208-939-8200 Fax: 208-939-8222 | |
David J Kelly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3217 W Bavaria St, Eagle, ID 83616 Phone: 208-302-6200 Fax: 208-302-6255 |