Eric Gilbreath Md Pa | |
413 Allumbaugh St Ste 101 Boise ID 83704-9212 | |
(208) 323-1125 | |
Not Available |
Full Name | Eric Gilbreath Md Pa |
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Speciality | Psychologist |
Location | 413 Allumbaugh St, Boise, Idaho |
Authorized Official Name and Position | Tricia Sterling (ACCOUNTS MANAGER) |
Authorized Official Contact | 2083231125 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eric Gilbreath Md Pa 413 Allumbaugh St Ste 101 Boise ID 83704-9212 Ph: (208) 323-1125 | Eric Gilbreath Md Pa 413 Allumbaugh St Ste 101 Boise ID 83704-9212 Ph: (208) 323-1125 |
NPI Number | 1447495114 |
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Provider Enumeration Date | 12/10/2008 |
Last Update Date | 12/10/2008 |
Medicare PECOS PAC ID | 9436216280 |
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Medicare Enrollment ID | O20090321000012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447495114 | NPI | - | NPPES |
806527400 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | M8740 (Idaho) | Primary |
Provider Name | Eric C Gilbreath |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548290711 PECOS PAC ID: 9931123460 Enrollment ID: I20060123000872 |
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