Kurt E Kracaw, MD | |
910 Nw 16th St, Ste 101, Fruitland, ID 83619 | |
(208) 452-8000 | |
(208) 452-8055 |
Full Name | Kurt E Kracaw |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 910 Nw 16th St, Fruitland, 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 |
---|---|---|---|
1285723460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M13115 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Alphonsus Medical Center- Ontario Inc | 1456488899 | 27 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
Mailing Address | Practice Location Address |
---|---|
Kurt E Kracaw, MD 3340 E Goldstone Dr, Meridian, ID 83642 Ph: (208) 452-8000 | Kurt E Kracaw, MD 910 Nw 16th St, Ste 101, Fruitland, ID 83619 Ph: (208) 452-8000 |
Lawrence J Sladich, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 910 Nw 16th, Fruitland, ID 83619 Phone: 208-452-8040 Fax: 208-452-8056 | |
Billy J Galligar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 808 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-2672 Fax: 208-452-2673 | |
Dr. Nani Jane Cabrera, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1107 Nw 11th St, Fruitland, ID 83619 Phone: 208-452-8700 Fax: 208-452-8725 | |
Caleb Patee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th, Suite 101, Fruitland, ID 83619 Phone: 208-452-8000 Fax: 208-452-8055 | |
Michael Joseph Hoilien, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 910 Nw 16th Street, Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 Fax: 208-452-8055 |