Michael Sparks, is a
Student In An Organized Health Care Education/training Program physician based in Pocatello, Idaho. Michael Sparks is licensed to practice in * (Not Available) (license number ) and his current practice location is 921 S 8th Ave Stop 8253, Pocatello, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 282-4276.
NPI number for Michael Sparks is 1093547820 and his current mailing address is 921 S 8th Ave Stop 8253, Pocatello, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093547820.
Physician's Profile
| Full Name | Michael Sparks |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 921 S 8th Ave Stop 8253, Pocatello, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093547820
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 08/19/2024
Medical Identifiers
Medical identifiers for Michael Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093547820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 533723 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Michael Sparks 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 Address | Practice Location Address |
|---|
Michael Sparks,
921 S 8th Ave Stop 8253,
Pocatello, ID 83209-0002
Ph: (208) 282-4276 | Michael Sparks,
921 S 8th Ave Stop 8253,
Pocatello, ID 83209-0002
Ph: (208) 282-4276 |
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