Mr Ismael Grachico Ii, MD | |
775 Pole Line Rd W Ste 212, Twin Falls, ID 83301-5820 | |
(208) 814-8400 | |
Not Available |
Full Name | Mr Ismael Grachico Ii |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 8 Years |
Location | 775 Pole Line Rd W Ste 212, 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 |
---|---|---|---|
1881055705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD250761 (Oregon) | Secondary |
208600000X | Surgery | M-16804 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Ismael Grachico Ii, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Mr Ismael Grachico Ii, MD 775 Pole Line Rd W Ste 212, Twin Falls, ID 83301-5820 Ph: (208) 814-8400 |
Elliot Mcnamara Adams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 213, Twin Falls, ID 83301 Phone: 208-814-8475 | |
Dr. Ronald William Blair, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 | |
Stephen E Schmid, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 630 Addison Ave W, Twin Falls, ID 83301 Phone: 208-736-8735 Fax: 208-736-5999 | |
Mr. Donald Paul Workman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 496 D Shoup Ave W, Twin Falls, ID 83301 Phone: 208-734-1614 Fax: 208-733-6530 | |
Bruce C Mccomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 | |
Dr. David William Becker Jr., M.D., J.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 668 Ballingrude Dr, Twin Falls, ID 83301 Phone: 208-735-9288 | |
Dr. Jarom F Lamb, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 |