Shoshone Bannock Clinic Podiatry Group is a
Podiatrist based in Fort Hall, Idaho. Shoshone Bannock Clinic Podiatry Group is licensed to practice in * (Not Available) (license number ) and their current practice location is
717 Mission Road, Fort Hall, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 238-5421.
NPI number for Shoshone Bannock Clinic Podiatry Group is 1952518946 and their current mailing address is Po Box 306, Pima Drive, Fort Hall, Idaho. Shoshone Bannock Clinic Podiatry Group
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1952518946.
Healthcare Provider's Profile
| Full Name | Shoshone Bannock Clinic Podiatry Group |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 717 Mission Road, Fort Hall, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952518946
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Shoshone Bannock Clinic Podiatry Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952518946 | NPI | - | NPPES |
| 8066486 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (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. Shoshone Bannock Clinic Podiatry Group 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 |
|---|
Shoshone Bannock Clinic Podiatry Group
Po Box 306, Pima Drive,
Fort Hall, ID 83203-0306
Ph: (208) 478-3994 | Shoshone Bannock Clinic Podiatry Group
717 Mission Road,
Fort Hall, ID 83203
Ph: (208) 238-5421 |
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