Mike C Laur, DPM | |
2667 E Gala Ct Ste 130, Meridian, ID 83642-2788 | |
(208) 855-5955 | |
(208) 459-8628 |
Full Name | Mike C Laur |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 27 Years |
Location | 2667 E Gala Ct Ste 130, Meridian, 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 |
---|---|---|---|
1609846237 | NPI | - | NPPES |
000855434A | Medicaid | GA | |
00855434B | Medicaid | ID | |
00855434C | Medicaid | GA | |
2701696 | Other | GA | EVERCARE |
332893 | Medicaid | GA | |
10051376 | Medicaid | GA | |
2308614 | Other | GA | AETNA |
2600040 | Other | GA | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | POD000883 (Georgia) | Secondary |
213E00000X | Podiatrist | P-274 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
P. Roman Burk Dpm Pc | 9335308717 | 3 |
Provider Name | P. Roman Burk Dpm Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649563347 PECOS PAC ID: 9335308717 Enrollment ID: O20120306000572 |
Mailing Address | Practice Location Address |
---|---|
Mike C Laur, DPM 2667 E Gala Ct Ste 130, Meridian, ID 83642-2788 Ph: (208) 795-5090 | Mike C Laur, DPM 2667 E Gala Ct Ste 130, Meridian, ID 83642-2788 Ph: (208) 855-5955 |
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